Dr Ejaz Shamim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Morton Grove, Illinois. His current practice location is
9224 Nagle Ave, Morton Grove, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 966-7917.
Dr Ejaz Shamim is licensed to practice in Illinois (license number 036.104277) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548251069.
Physician's Profile
Full Name | Dr Ejaz Shamim |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 9224 Nagle Ave, Morton Grove, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Ejaz Shamim attended and graduated from in
NPI Data:
- NPI Number: 1548251069
- Provider Enumeration Date: 11/03/2005
- Last Update Date: 01/22/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ejaz Shamim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548251069 | NPI | - | NPPES |
200451430 | Medicaid | IN | |
P00086529 | Other | IN | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 036.104277 (Illinois) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 01057985A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ejaz Shamim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ejaz Shamim, MD 9224 Nagle Ave, Morton Grove, IL 60053-1428 Ph: (847) 966-7917 | Dr Ejaz Shamim, MD 9224 Nagle Ave, Morton Grove, IL 60053-1428 Ph: (847) 966-7917 |
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