SHIFA DIALYSIS LLC (NPI# 1770858425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770858425 |
| Entity Type | Organization |
| Organization Name | SHIFA DIALYSIS LLC |
| Practice Address |
1540 W. Chicago Ave Chicago IL 60642 |
| Mailing Address |
Po Box 597315 Chicago IL 60659-7315 |
| Practice Telephone | 7734236400 |
| Practice Fax Number | 7734238440 |
| Mailing Telephone | 7734236400 |
| Mailing Fax Number | 7734238440 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | DR. FARHEEN M SHAH-KHAN (PRESIDENT) |
| Authorized Official Telephone | 7734236400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
1540 W. CHICAGO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1871146761 | Fresenius Medical Care West Metro, LLC | Clinic/Center | 1044 N Mozart St Ste 3, Chicago, IL 60622-4477 | 2019-07-19 |
| 1487139085 | Dunklinson Dialysis LLC | Clinic/Center | 2640 N Narragansett Ave Ste D8, Chicago, IL 60639-1096 | 2018-09-28 |
| 1154801702 | Total Renal Care Inc | Clinic/Center | 8159 S Cicero Ave, Chicago, IL 60652-2017 | 2018-08-14 |
| 1497258693 | Dialysis Care Center Beverly LLC | Clinic/Center | 10801 S Western Ave Ste 100, Chicago, IL 60643-3297 | 2018-03-14 |
| 1699288092 | Itasca Dialysis LLC | Clinic/Center | 4737 S California Ave, Chicago, IL 60632-2015 | 2017-11-08 |
| 1821507674 | Total Renal Care Inc | Clinic/Center | 4323 N Pulaski Rd, Chicago, IL 60641-2155 | 2017-09-25 |
| 1851813216 | Usrc West Chicago, LLC | Clinic/Center | 112 W 87th St Ste N, Chicago, IL 60620-1318 | 2017-07-07 |
| 1649790510 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 9924 S Vincennes Avenue, Chicago, IL 60643-1303 | 2017-06-22 |
| 1548791163 | Pawlier Dialysis LLC | Clinic/Center | 9505 S Colfax Ave, Chicago, IL 60617-4976 | 2017-03-24 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.