Healthcare Provider Details

I. General information

NPI: 1093913220
Provider Name (Legal Business Name): ARSHAD RASHID SHAIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1163 W STEPHENSON ST
FREEPORT IL
61032-4866
US

IV. Provider business mailing address

421 W EXCHANGE ST
FREEPORT IL
61032-4008
US

V. Phone/Fax

Practice location:
  • Phone: 815-599-7000
  • Fax: 815-599-7091
Mailing address:
  • Phone: 815-599-7950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036-118912
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: