Organization
SHIFA LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EUNICE CORDELIA MILLER MUHAMMAD LCSW (CHIEF OPERATING OFFICER)
(312) 213-1292
Entity
Organization
Contact information
Practice address
115 N MARION ST, SUITE 6, OAK PARK, IL 60301-1503
(312) 213-1292
Mailing address
1136 S ELMWOOD AVE, APT 2, OAK PARK, IL 60304-2112
(312) 213-1292
(708) 445-2604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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