MEDICARE: SHIFA KIDNEY CARE WEST METRO LLC

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	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1023974201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIFA KIDNEY CARE WEST METRO LLC

Provider Business Mailing Address
First Line	:	1544 W CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-5236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1044 N MOZART ST STE 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-2789
Country	:	US
Telephone Number	:	773-232-2300
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FARHEEN M SHAH-KHAN
Credential	:	MD
Telephone Number	:	773-232-2300

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

Similar Medicare Providers

1023275211 — OLGA L SAAVEDRA M.D. SC
Practice Location Address:

1044 N MOZART ST , SUITE 503
CHICAGO, IL
60622-2789

Practice Phone: 773-772-9607
Practice Fax: 773-772-9609

1871589143 — DR. ARUN K VERMA M.D.
Practice Location Address:

1044 N MOZART ST
CHICAGO, IL
60622-2789

Practice Phone: 773-292-8247
Practice Fax:

1144200056 — BRIDGET ELIZABETH TYNER SAROYA CPNP
Practice Location Address:

1044 N MOZART ST , STE-402
CHICAGO, IL
60622-2789

Practice Phone: 773-292-4501
Practice Fax: 773-292-2613

1841237658 — DR. MARIO A ROLDAN M.D
Practice Location Address:

1044 N MOZART ST
CHICAGO, IL
60622-2789

Practice Phone: 888-676-5326
Practice Fax: 773-276-3179

1184658643 — ALFREDO P. SY M.D.
Practice Location Address:

1044 N MOZART ST , SUITE 203
CHICAGO, IL
60622-2789

Practice Phone: 773-292-8300
Practice Fax:

1194733584 — DR. GEORGE THOMAS AMPALLOOR MD
Practice Location Address:

1044 N MOZART ST , SUITE 402
CHICAGO, IL
60622-2789

Practice Phone: 773-292-4501
Practice Fax: 773-292-2613

Directions to “SHIFA KIDNEY CARE WEST METRO LLC ” 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.