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General NPI Number Information
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NPI Number | 1720131014
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Entity Type | Organization
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Legal Business Name | SHIFA CARDIOLOGY CONSULTANTS MD SC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 4640 N MARINE DR
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City | CHICAGO
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State | IL
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Zip | 60640-5719
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Country | US
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Telephone | 773-564-5900
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Fax | 773-564-5911
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Provider Business Mailing Address
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Address Line | 4640 N MARINE DR
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City | CHICAGO
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State | IL
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Zip | 60640-5719
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Country | US
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Telephone | 773-564-5900
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Fax | 773-564-5911
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. AMJAD I SHEIKH
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Credential | MD
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Telephone | 773-564-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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