Provider Demographics
NPI:1114961356
Name:AL-SHAFA HEALTH CARE,INC
Entity Type:Organization
Organization Name:AL-SHAFA HEALTH CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAEEM
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:773-262-3657
Mailing Address - Street 1:2022 WEST ARTHUR AVENUE
Mailing Address - Street 2:APT # 1A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645
Mailing Address - Country:US
Mailing Address - Phone:773-262-3657
Mailing Address - Fax:773-262-3657
Practice Address - Street 1:2022 WEST ARTHUR AVENUE
Practice Address - Street 2:APT # 1A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645
Practice Address - Country:US
Practice Address - Phone:773-262-3657
Practice Address - Fax:773-262-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health