Organization
SHIFA MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSAR A MOHAMMED (PRESIDENT)
(773) 852-7866
Entity
Organization
Contact information
Practice address
4652 OAKTON ST, SKOKIE, IL 60076-3145
(773) 852-8666
Mailing address
4652 OAKTON ST, SKOKIE, IL 60076-3145
(773) 852-8666
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
03/03/2022
Last updated
04/19/2023
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