Individual
DR. SHAHIDA TANVEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 167TH ST STE 250, CALUMET CITY, IL 60409-5484
(708) 891-0089
(708) 891-0681
Mailing address
2500 S HIGHLAND AVE STE 350, LOMBARD, IL 60148-7129
(630) 916-1400
(708) 891-0681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036083262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083262
—
IL
Enumeration date
11/14/2006
Last updated
01/11/2022
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