Basic Information
Provider Information
NPI: 1336377977
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHAREEF
FirstName: NAUSHIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3701 ALGONQUIN RD STE 900
Address2:  
City: ROLLING MEADOWS
State: IL
PostalCode: 600083193
CountryCode: US
TelephoneNumber: 8475770620
FaxNumber:  
Practice Location
Address1: 4305 W MEDICAL CENTER DR STE 1
Address2:  
City: MCHENRY
State: IL
PostalCode: 600508425
CountryCode: US
TelephoneNumber: 8157598100
FaxNumber: 8157598106
Other Information
ProviderEnumerationDate: 06/22/2009
LastUpdateDate: 01/19/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X4301094044MIN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RH0003X036143751ILY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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