Shifa Medical Care, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036104408 Issued in IL

Legal business name

SHIFA MEDICAL CARE, INC

Practice address

142 E Lake St
Suite C
Bloomingdale, IL 60108-1195

Phone

(630) 351-0775

NPI assigned

Sep 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Afshan Hafiz, MD

Title

President

Phone

(630) 351-0775

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1285941914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E LAKE ST",
            "address_2": "SUITE C",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081195",
            "telephone_number": "630-351-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E LAKE ST",
            "address_2": "SUITE C",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081195",
            "telephone_number": "630-351-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA MEDICAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "HAFIZ",
        "authorized_official_first_name": "AFSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-351-0775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036104408",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036104408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pruthvi Sharlin, MD
• Priyanka Sharma, DMD
• Greg Edward Sharon, M.D.,
• Robert W Sharp, PT
• William Robert Sheehan, PT, DPT
• Princy Shyam, MA., MSW, LCSW
• Imelda Andaya Sia, MD
• Mehnaz Siddiqui
• Kenneth Siegel, MD
• Eliud Miguel Sierra Jr., DC

• Family Medicine Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.