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Farid F Shafaie, MD
Diagnostic Radiology Physician in Berwyn, Illinois
NPI 1306891841

Farid F Shafaie is a Diagnostic Radiology Physician based in Riverside, IL and is specialized in Diagnostic Radiology. Farid F Shafaie practices in Berwyn, IL and has the professional credentials of MD. The NPI Number for Farid F Shafaie is 1306891841 and holds a License No. 12090 (Illinois).

The current practice location address for Farid F Shafaie is 3249 South Oak Park Ave., Berwyn, IL and can be reached out via phone at 708-783-3152 and via fax at 708-783-3164.

Location: 3249 South Oak Park Ave., Berwyn, IL, 92507-7401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306891841
Provider Name
Farid F Shafaie
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3249 South Oak Park Ave., Berwyn, IL, 92507-7401
Phone Number
708-783-3152
Fax Number
708-783-3164
Provider Enumeration Date
05/23/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0361075621 05 IL
300134723 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
3249 South Oak Park Ave.
City
Berwyn
State
Illinois
Zip
60402
Phone Number
708-783-3152
Fax Number
708-783-3164
person
Provider Business Mailing Address Details
Address
3249 South Oak Park Ave.
City
Berwyn
State
Illinois
Zip
60402
Phone Number
708-783-3152
Fax Number
708-783-3164
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
C1-0025650 (Delaware)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
12090 (Nevada)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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