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Organization
AHMED SHAFI P C
Active
Organization
AHMED SHAFI P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED SHAFI MD (PHYSICIAN)
(630) 887-0641
Entity
Organization
Contact information
Practice address
9101 DEVON RIDGE DR, BURR RIDGE, IL 60527-8368
(630) 887-0641
(866) 261-3402
Mailing address
9101 DEVON RIDGE DR, BURR RIDGE, IL 60527-8368
(630) 887-0641
(866) 261-3402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036098168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098168
—
IL
01
—
1912997743
NPI
IL
Enumeration date
07/03/2008
Last updated
07/03/2008
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