Shamsi, Omar

Shamsi, Omar is an individual health care provider with primary practice located at 1200 S York St Suite 1240, Elmhurst IL 60126-5626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Shamsi, Omar can be contacted via phone (331) 221-6140.

Contact Information

Primary practice address
1200 S York St Suite 1240 Elmhurst IL 60126-5626
Phone: (331) 221-6140
Fax: (331) 221-3838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036125176 Illinois
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 036125176 Illinois

Profile Details

NPI number 1053599233
LBN Legal business name Shamsi, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2008
Last updated Jul 15th, 2024 - about 2 months 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 1053599233 NPPES
Indiana Other 01066903A INDIANA PROFESSIONAL LICENSING AGENCY MEDICAL LICENSING BOARD
Indiana MEDICAID 200967190A INDIANA PROFESSIONAL LICENSING AGENCY MEDICAL LICENSING BOARD

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