MEDICARE: KIDSMD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1497341663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDSMD PC

Provider Business Mailing Address
First Line	:	37 RIDGEFIELD LN
Second Line	:
City	:	WILLOWBROOK
State	:	IL
Zip	:	60527-5200
Country	:	US
Telephone Number	:	917-686-5676
Fax Number	:

Provider Business Practice Location Address
First Line	:	6827 KINGERY HWY
Second Line	:
City	:	WILLOWBROOK
State	:	IL
Zip	:	60527-5154
Country	:	US
Telephone Number	:	917-686-5676
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TAAHA SHAKIR
Credential	:	MD
Telephone Number	:	917-686-5676

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	12/11/2020

Similar Medicare Providers

1124022900 — DR. NING SUN M.D., PHD.
Practice Location Address:

6833 KINGERY HWY
WILLOWBROOK, IL
60527-5154

Practice Phone: 630-321-9313
Practice Fax: 630-321-9314

1841377074 — DR. ADAM RAMSEY MD
Practice Location Address:

6803 KINGERY HWY
WILLOWBROOK, IL
60527-5154

Practice Phone: 630-323-0430
Practice Fax: 630-323-5220

1912045519 — DR. GLEN MICHAEL BATSON D.C.
Practice Location Address:

6837 KINGERY HWY
WILLOWBROOK, IL
60527-5154

Practice Phone: 630-323-1181
Practice Fax: 630-323-1185

1871823872 — MIDWEST ENDOCRINE & DIABETES CARE LLC
Practice Location Address:

6827 KINGERY HWY
WILLOWBROOK, IL
60527-5154

Practice Phone: 630-323-2455
Practice Fax:

1699046409 — HINSDALE AND OAKBROOK WOMENS CLINIC LTD
Practice Location Address:

6803 KINGERY HWY
WILLOWBROOK, IL
60527-5154

Practice Phone: 630-323-0430
Practice Fax: 630-323-0431

1346650439 — MIDWEST ALLERGY & ASTHMA CLINIC LLC
Practice Location Address:

6827 KINGERY HWY
WILLOWBROOK, IL
60527-5154

Practice Phone: 630-655-1212
Practice Fax: 630-655-6945

Directions to “KIDSMD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.