Shaji, Mohamed Ihtesham

Shaji, Mohamed Ihtesham is an individual health care provider with primary practice located at 4646 N Marine Dr , Chicago IL 60640-5759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Shaji, Mohamed Ihtesham can be contacted via phone (773) 564-7400.

Contact Information

Primary practice address
4646 N Marine Dr Chicago IL 60640-5759
Phone: (773) 564-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 125.069826 Illinois

Profile Details

NPI number 1194248914
LBN Legal business name Shaji, Mohamed Ihtesham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Aug 15th, 2017 - about 7 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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