Most Relevant Information
Provider Data
| NPI Number: | 1003308255 |
| Provider Name: | ADEM SHUAIPAJ DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 125072647 |
Most Important Dates
| Enumeration Date: | 06/04/2018 |
| Last Updated: | 08/03/2021 |
Provider Practice Location
4061 W 95TH ST
OAK LAWN
IL
604532611
Practice Location Phone/Fax
| Phone: | 7084232880 |
| Fax: | 7084232933 |
Provider Mailing Location
1860 PAYSPHERE CIR
CHICAGO
IL
606740018
Provider Mailing Phone/Fax
| Phone: | 3046992006 |
| Fax: |