DR. SHAKIR MOIDUDDIN


Address: 7530 W College Dr, Suite C, Palos Heights, IL 60463
Phone: 7083610911

DR. SHAKIR MOIDUDDIN (NPI# 1295810547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295810547
Entity Type Individual
Full Name DR. SHAKIR MOIDUDDIN
Credential MD
Practice Address 7530 W College Dr
Suite C
Palos Heights
IL 60463
Practice Telephone 7083610911
Practice Fax Number 7083611379
Mailing Telephone 7083610911
Mailing Fax Number 7083611379
Enumeration Date 2006-10-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine IL Allopathic & Osteopathic Physicians

Office Location

Street Address 7530 W COLLEGE DR
SUITE C
City PALOS HEIGHTS
State IL
Zip Code 60463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831164896 Joan Marie Mcelligott Family Medicine 7530 W College Dr, Palos Heights, IL 60463-1196 2006-02-22
1730583261 Peter Mcdonnell Md, LLC Surgery 7530 W College Dr, Palos Heights, IL 60463-1196 2014-10-13
1497199350 Physician Diagnostic and Pathology Radiology 7530 W College Dr, Palos Heights, IL 60463-1196 2013-04-23
1437477270 Ijaz Qayyum M.d.,s.c. Surgery 7530 W College Dr, Suite C, Palos Heights, IL 60463-1196 2010-05-04
1518146034 Sarah Soni Internal Medicine 7530 W College Dr, Palos Heights, IL 60463-1196 2007-10-31
1245428374 Palos Heights Medical Center Family Medicine 7530 W College Dr, Suite C, Palos Heights, IL 60463-1196 2007-10-15
1467581801 Vinod Kumar Soni Internal Medicine 7530 W College Dr, Palos Heights, IL 60463-1196 2007-03-03
1659435899 Peter J. Mcdonnell M.d. Sc Specialist 7530 W College Dr, Palos Heights, IL 60463-1196 2006-12-21
1740361633 James J Strzyz Urology 7530 W College Dr, Palos Heights, IL 60463-1196 2006-10-18
1538240429 Jay P Steinberg Urology 7530 W College Dr, Palos Heights, IL 60463-1196 2006-10-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932756095 Kim Rusiecki Technician 25 Parliament Drive East, Palos Heights, IL 60463 2019-08-23
1265925218 Sentinel Anesthesia of Illinois, PC Anesthesiology 7340 W College Dr Fl 1, Palos Heights, IL 60463 2018-06-13
1225410848 Deborah Ann Castaneda Skilled Nursing Facility 12350 Natchez Ave., Palos Heights, IL 60463 2015-06-19
1609253160 Tareq Ayyad Physical Therapy Assistant 11730 Lighthouse Ln, Palos Heights, IL 60463 2015-05-04
1366846503 Ryan Teahen Dentist 7600 W College Dr Ste 17, Palos Heights, IL 60463 2014-10-17
1295140309 Paul Park Ophthalmology 7600 W College Dr Ste 9, Palos Heights, IL 60463 2014-06-26
1275976045 Nazim A. Khan Physician Assistant 6450 West College Drive, Palos Heights, IL 60463 2013-04-11
1619246824 Amanda M Ejka Psychologist 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 2011-12-16
1578832937 Sandi Maheras Pharmacist 1703 Spyglass Cir, Palos Heights, IL 60463 2011-12-14
1043597065 Ashraf Olwan Pharmacist 7660 W Sequoia Rd, Palos Heights, IL 60463 2011-11-04
Find all providers in zip 60463

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649697483 Andrew & Lubomyra Kazaniwskyj Do Family Medicine 11747 Southwest Hwy, Palos Heights, IL 60463-1015 2014-03-18
1811203805 Gerald Michael Casey Family Medicine 16 W Bay Rd, Palos Heights, IL 60463-1056 2010-08-27
1386881688 Mansour Moh'd Alshobaki Family Medicine 7350 W College Dr Ste 201, Palos Heights, IL 60463-1190 2009-01-08
1730231259 Lloyd J Blakeman IIi Family Medicine 7110 W 127th St Ste 250, Palos Heights, IL 60463-1580 2007-01-17
1770694200 Ewa V Hampston Family Medicine 12130 S Harlem Ave, Suite B, Palos Heights, IL 60463-1458 2006-08-31
1831164896 Joan Marie Mcelligott Family Medicine 7530 W College Dr, Palos Heights, IL 60463-1196 2006-02-22
1205343357 Cristine Gramza Family Medicine 12251 S 80th Ave, Palos Heights, IL 60463-1256 2018-01-10
1912428723 Maureen E Kelly Family Medicine 12251 S 80th Ave, Palos Heights, IL 60463-1256 2017-06-30
1891234290 Clinical Associates of Palos Heights Sc Family Medicine 11824 Southwest Hwy, Suite 110, Palos Heights, IL 60463-1055 2017-02-17
1740568351 Lakeview Family Medical Care LLC Family Medicine 7350 W College Dr Ste 201, Palos Heights, IL 60463-1190 2011-07-31
Find all providers in PALOS HEIGHTS

Competitor

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City PALOS HEIGHTS
Zip Code 60463

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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