MEDICARE: SHAIKH NADEEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	209024092	IL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	277004372	IL
3	363LF0000X	Family Nurse Practitioner	277004372	IL
4	163W00000X	Registered Nurse	041.460911	IL

General Provider Information

NPI Number	:	1114695178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAIKH NADEEM

Provider Business Mailing Address
First Line	:	1011 E TOUHY AVE STE 110
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-5805
Country	:	US
Telephone Number	:	773-216-0560
Fax Number	:	740-528-5541

Provider Business Practice Location Address
First Line	:	1011 E TOUHY AVE STE 110
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-5805
Country	:	US
Telephone Number	:	773-216-0560
Fax Number	:	740-528-5541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	04/06/2026

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Directions to “ SHAIKH NADEEM ” Practice Location

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