Individual
ANWAR SHAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N 8TH ST, SUITE PAV4A, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-5018
Mailing address
PO BOX 19658, SPRINGFIELD, IL 62794-9658
(217) 545-8000
(217) 545-5018
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
036-122201
IL
2080S0012X
Pediatric Sleep Medicine Physician
036-122201
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122201
—
IL
Enumeration date
11/18/2008
Last updated
12/09/2020
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