Adem Shuaipaj, DO
Family Medicine in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1003308255
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1003308255
- Entity type
- Individual (NPI-1)
- Name
- Adem Shuaipaj
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036.154011 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 125072647 | IL |
Practice location
4061 W 95th StOak Lawn, IL 60453-2611
Phone 708-423-2880 · Fax 708-423-2933
Mailing address
1860 Paysphere CirChicago, IL 60674-0018
Phone 304-699-2006
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