Alsafwah, Shadwan F

Alsafwah, Shadwan F is an individual health care provider with primary practice located at 17850 Kedzie Ave Ste 3250 , Hazel Crest IL 60429-2082. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Alsafwah, Shadwan F can be contacted via phone (708) 799-8700.

Contact Information

Primary practice address
17850 Kedzie Ave Ste 3250 Hazel Crest IL 60429-2082
Phone: (708) 799-8700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39235 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 41527 Arizona
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 39235 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-098886 Illinois

Profile Details

NPI number 1891890430
LBN Legal business name Alsafwah, Shadwan F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 31st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891890430 NPPES
Tennessee MEDICAID 3337932
Tennessee MEDICAID 425003
Tennessee Other 103I062027

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