Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khizer Shamim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710729884

Dr. Khizer Shamim, MD is a Student in an Organized Health Care Education/Training Program in Loves Park, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7702 N Alpine Rd
Loves Park, IL 61111-3107
Phone: (815) 971-3397
Fax: (815) 971-9795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Mercyhealth Javon Bea Hospital, Rockford, IL 61114 — (815) 971-2000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.083189 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710729884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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