DR. SHOAIB A MEMON (NPI# 1821248741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821248741 |
| Entity Type | Individual |
| Full Name | DR. SHOAIB A MEMON |
| Credential | M.D |
| Practice Address |
676 N Saint Clair St Suite 945 Chicago IL 60611-2927 |
| Practice Telephone | 3126959627 |
| Practice Fax Number | 3126956072 |
| Mailing Telephone | 3126959627 |
| Mailing Fax Number | 3126956072 |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2012-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
036.127359 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
676 N SAINT CLAIR ST SUITE 945 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637272 | Alan Ara Boghosian | Dentist | 676 N Saint Clair St, Ste 1773, Chicago, IL 60611-2974 | 2005-05-24 |
| 1720542806 | Lindsey Lemmen | Social Worker | 676 N Saint Clair St, Chicago, IL 60611-2927 | 2019-01-23 |
| 1235633652 | Spencer Ng | Dermatology | 676 N Saint Clair St, Chicago, IL 60611 | 2018-03-20 |
| 1285168229 | Courtney Sperry | Physician Assistant | 676 N Saint Clair St, Suite 800, Chicago, IL 60611-2927 | 2017-04-17 |
| 1255872644 | Amanda Heepke | Nurse Practitioner | 676 N Saint Clair St, Suite 2125, Chicago, IL 60611-2927 | 2017-03-17 |
| 1295271088 | Roger Stupp | Internal Medicine | 676 N Saint Clair St, Suite 2210, Chicago, IL 60611-2927 | 2017-01-17 |
| 1356885099 | Jessica Mckinley | Nurse Practitioner | 676 N Saint Clair St, 9-900, Chicago, IL 60611-2927 | 2016-12-15 |
| 1376087239 | Sarah Hemphill | Social Worker | 676 N Saint Clair St, Chicago, IL 60611-2927 | 2016-12-12 |
| 1356885453 | Anne Kurze | Nurse Practitioner | 676 N Saint Clair St, 940, Chicago, IL 60611-2927 | 2016-12-07 |
| 1124562319 | Carolyn Chiu | Speech-Language Pathologist | 676 N Saint Clair St, Suite 1775, Chicago, IL 60611-2927 | 2016-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700272093 | Shoaib Memon LLC | Psychiatry & Neurology | 1741 W Beach Ave Apt 3, Chicago, IL 60622-1185 | 2015-04-13 |
| 1659758092 | Shoaib Memon Md LLC | Psychiatry & Neurology | 333 N Michigan Ave, Suite 618, Chicago, IL 60601-3901 | 2015-05-06 |
| 1396989976 | Anitha Rao | Psychiatry & Neurology | 222 Merchandise Mart Plz, Suite #1230, Chicago, IL 60654-1103 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705894 | Illinois Behavioral Care LLC | Psychiatry & Neurology | 1935 Tanglewood Dr Unit H, Glenview, IL 60025-1635 | 2019-08-12 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1508124876 | Mind Aligned Inc | Psychiatry & Neurology | 4571 W Westchester Ln, Libertyville, IL 60048-4877 | 2012-04-24 |
| 1265532766 | Aleksandar Kondic | Psychiatry & Neurology | 1305 Wiley Rd, 125, Schaumburg, IL 60173 | 2006-09-24 |
| 1841581956 | Shawna O'reilly | Psychiatry & Neurology | 405 Lake Zurich Rd, Barrington, IL 60010-3141 | 2011-04-22 |
Please comment or provide details below to improve the information on DR. SHOAIB A MEMON.
| 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.