| Shifa | |
|
2340 S Highland Ave Suite 370 Lombard IL 60148-5371 | |
| (630) 351-0775 | |
| (630) 307-8021 |
| Full Name | Shifa |
|---|---|
| Speciality | Family Medicine |
| Location | 2340 S Highland Ave, Lombard, Illinois |
| Authorized Official Name and Position | Afshan Hafiz-ahmed (MEDICAL DIRECTOR/CEO) |
| Authorized Official Contact | 6303510775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifa 2340 S Highland Ave Suite 370 Lombard IL 60148-5371 Ph: (630) 351-0775 | Shifa 2340 S Highland Ave Suite 370 Lombard IL 60148-5371 Ph: (630) 351-0775 |
| NPI Number | 1538306063 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 12/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538306063 | NPI | - | NPPES |
| 036104408 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036104408 (Illinois) | Primary |
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