Organization
SHIFA DIALYSIS CENTER HUMBOLDT PARK, LLC
Active
Other names
Shifa Dialysis West Metro LLC, FRESENIUS KIDNEY CARE WEST METRO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHEEN SHAH-KHAN (PRESIDENT)
(773) 232-2300
Entity
Organization
Contact information
Practice address
1044 N MOZART ST STE 3, CHICAGO, IL 60622-2789
(773) 772-9400
(773) 772-3935
Mailing address
1658 N MILWAUKEE AVE, SUITE 4, BOX# 314, CHICAGO, IL 60647-6905
(773) 232-2300
(773) 232-2301
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
06/16/2026
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