Sadiq, Shamim

Sadiq, Shamim is an individual health care provider with primary practice located at 1400 W Park St , Urbana IL 61801-2334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sadiq, Shamim can be contacted via phone (217) 337-2073.

Contact Information

Primary practice address
1400 W Park St Urbana IL 61801-2334
Phone: (217) 337-2073
Fax: (217) 366-6106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036112752 Illinois

Profile Details

NPI number 1801862461
LBN Legal business name Sadiq, Shamim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Dec 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801862461 NPPES
Illinois MEDICAID 036112752
Illinois MEDICAID 207528605

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