Individual ProviderShamsa TariqNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9226 Golf Rd Apt 212, Des Plaines, IL 60016-1759(832) 306-9492PECOS EnrollmentBased on the most recent information from CMS, provider Shamsa Tariq does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1649823451Provider TypeIndividualFull NameTariq, ShamsaCredentialNP-BCGenderFemaleSole ProprietorYesEnumeration Date7/20/2019Last Updated7/20/2019Contact InformationPractice LocationPractice Address9226 Golf Rd Apt 212, Des Plaines, IL 60016-1759Phone(832) 306-9492FaxUnlisted FaxMailing LocationMailing Address9226 Golf Rd Apt 212, Des Plaines, IL 60016-1759Phone(832) 306-9492FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209.016826Illinois