Shaker, Mohammad R

Shaker, Mohammad R is an individual health care provider with primary practice located at 1150 Essington Rd Ste 101 , Joliet IL 60435-8447. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Shaker, Mohammad R can be contacted via phone (888) 938-3838.

Contact Information

Primary practice address
1150 Essington Rd Ste 101 Joliet IL 60435-8447
Phone: (888) 938-3838
Fax: (888) 919-1083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 48503020 Wisconsin
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 48503 Wisconsin
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 036-105323 Illinois

Profile Details

NPI number 1639223928
LBN Legal business name Shaker, Mohammad R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Mar 18th, 2024 - about 2 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 1639223928 NPPES
Illinois MEDICAID 036105323
Illinois MEDICAID 34689900
Illinois MEDICAID 6520350
Illinois Other 0022505
Illinois Other 9213433

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