Mohamed Ihtesham Shaji, MD Valid NPI

Individual provider · Adolescent Medicine (Internal Medicine) Physician · Chicago, IL

NPI

1194248914

Type

Individual (Type 1)

Primary specialty

Adolescent Medicine (Internal Medicine) Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RA0000X

License number

125.069826 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2017-07-24

Last updated

2017-08-15