Dr. Ejaz Shamim, MD
Radiology, Diagnostic Radiology in Morton Grove, IL. Individual provider (NPI-1).
NPI number1548251069
StatusActive
Last updated in NPPESJan 22, 2014
Details
- NPI
- 1548251069
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ejaz Shamim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2005
- Last updated
- Jan 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036.104277 | IL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 01057985A | IN |
Practice location
9224 Nagle AveMorton Grove, IL 60053-1428
Phone 847-966-7917
Mailing address
9224 Nagle AveMorton Grove, IL 60053-1428
Phone 847-966-7917
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