Individual
NAZILA SHAFAGATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
280693
MA
207RH0003X
Hematology & Oncology Physician
Primary
036174178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280693
STATE LICENSE
MA
Enumeration date
06/03/2019
Last updated
10/14/2025
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