Provider Demographics
NPI:1538415518
Name:SHAIKH, RAHIL ISMAIL (MD)
Entity type:Individual
Prefix:
First Name:RAHIL
Middle Name:ISMAIL
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6810 N MCCORMICK BLVD
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-2709
Mailing Address - Country:US
Mailing Address - Phone:847-367-4169
Mailing Address - Fax:847-332-9147
Practice Address - Street 1:6810 N MCCORMICK BLVD
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-2709
Practice Address - Country:US
Practice Address - Phone:847-367-4169
Practice Address - Fax:847-332-9147
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-42011207Q00000X
IL036157171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine