Shifa Psychiatry, Inc | |
900 Technology Way Libertyville IL 60048-5364 | |
(847) 680-2715 | |
(847) 680-3832 |
Full Name | Shifa Psychiatry, Inc |
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Speciality | Psychiatry & Neurology |
Location | 900 Technology Way, Libertyville, Illinois |
Authorized Official Name and Position | Shazia Tayyab (PSYCHIATRIST) |
Authorized Official Contact | 8476802715 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shifa Psychiatry, Inc 31480 N Us Highway 45 Libertyville IL 60048-9444 Ph: (847) 680-2715 | Shifa Psychiatry, Inc 900 Technology Way Libertyville IL 60048-5364 Ph: (847) 680-2715 |
NPI Number | 1437384856 |
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Provider Enumeration Date | 05/29/2009 |
Last Update Date | 04/26/2021 |
Certification Date | 04/26/2021 |
Medicare PECOS PAC ID | 7517376635 |
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Medicare Enrollment ID | O20210430002329 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437384856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 036109759 (Illinois) | Primary |
Provider Name | Shazia Tayyab |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871695932 PECOS PAC ID: 6901706035 Enrollment ID: I20040113000507 |
Provider Name | Qurat Ul Ain Khan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487817128 PECOS PAC ID: 5496926115 Enrollment ID: I20210517000559 |
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