Provider Demographics
NPI:1841729084
Name:ALAMGIR, SHAYAN (DPM)
Entity type:Individual
Prefix:DR
First Name:SHAYAN
Middle Name:
Last Name:ALAMGIR
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17101 ARBOR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-5478
Mailing Address - Country:US
Mailing Address - Phone:630-923-9685
Mailing Address - Fax:
Practice Address - Street 1:2003 MONTGOMERY RD STE 108
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-9049
Practice Address - Country:US
Practice Address - Phone:630-923-9685
Practice Address - Fax:630-401-8648
Is Sole Proprietor?:No
Enumeration Date:2017-06-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016.005881213ES0103X
IL135.000978213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery