Healthcare Provider Details

I. General information

NPI: 1215803093
Provider Name (Legal Business Name): NS SHIFA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 E. TOUHY AVE SUITE 110
DES PLAINES IL
60018-5805
US

IV. Provider business mailing address

1011 E TOUHY AVE STE 110
DES PLAINES IL
60018-5805
US

V. Phone/Fax

Practice location:
  • Phone: 773-322-9096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHAIKH NADEEM
Title or Position: OWNER
Credential:
Phone: 773-322-9096