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Contact Information

MOHAMMAD R SHAKER, MD
1150 ESSINGTON RD STE 101
JOLIET, IL60435-8447
 Phone: 888-938-3838
 Fax: 888-919-1083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MOHAMMAD R SHAKER · (Male)

NPI Number 1639223928
Status Active
Credentials MD
Entity Individual
Enumeration date 01/23/2007
Last updated 03/18/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-105323
  • WI License # 48503
  • WI License # 48503020
  • IL Medicaid 036105323
  • SD Medicaid 6520350
  • WI Medicaid 34689900
  • Other 9213433 DAKOTA CARE
  • Other 0022505 WELLMARK
Hospital affiliation(s)
  • AURORA MED CTR KENOSHA - (Acute Care)
    10400 75TH ST
    KENOSHA, WI 53142
  • BELLIN MEMORIAL HSPTL - (Acute Care)
    744 S WEBSTER AVE
    GREEN BAY, WI 54305
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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