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Individual

TAAHA SHAKIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5841 S. MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-9087
Mailing address
5841 S. MARYLAND AVE, CHICAGO, IL 60637-1447

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036141715
IL
208000000X
Pediatrics Physician
141715
IL
208000000X
Pediatrics Physician
4301102366
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
03614171
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
036141715
IL
208M00000X
Hospitalist Physician
4301102366
MI

Other

Enumeration date
08/17/2008
Last updated
08/13/2021
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