Shamshad A. Anjum, MD
Family Medicine in Rockford, IL. Individual provider (NPI-1).
NPI number1487753596
StatusActive
Last updated in NPPESSep 30, 2025
Details
- NPI
- 1487753596
- Entity type
- Individual (NPI-1)
- Name
- Shamshad A. Anjum
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2006
- Certification date
- Sep 30, 2025
- Last updated
- Sep 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036085335 | IL | Yes |
Practice location
1200 W State StRockford, IL 61102-2112
Phone 815-490-1600 · Fax 815-490-1881
Mailing address
1200 W State StRockford, IL 61102-2112
Phone 815-490-1600 · Fax 815-490-1881
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