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Organization
PARK VIEW MEDICAL CENTER INC
Active
Organization
PARK VIEW MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMERAH SHAFI PA-C (PRESIDENT)
(773) 875-8148
Entity
Organization
Contact information
Practice address
2040 W DEVON AVE, CHICAGO, IL 60659-2128
(773) 875-8148
Mailing address
2040 W DEVON AVE, CHICAGO, IL 60659-2128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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