Organization
KIDSMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAAHA SHAKIR MD (OWNER)
(917) 686-5676
Entity
Organization
Contact information
Practice address
6827 KINGERY HWY, WILLOWBROOK, IL 60527-5154
(917) 686-5676
Mailing address
37 RIDGEFIELD LN, WILLOWBROOK, IL 60527-5200
(917) 686-5676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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