FARID F SHAFAIE, M.D., Diagnostic Radiology BERWYN, IL

Contact Information

FARID F SHAFAIE, M.D.

3249 SOUTH OAK PARK AVE.
BERWYN, IL 60402

Phone: 708-783-3152
Fax: 708-783-3164
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Neuroradiology	2085N0700X

Indicates primary specialty

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NPI Profile & details for FARID F SHAFAIE · (Male)

NPI #	`1306891841`
Status	Active
Credentials	M.D.
Entity	Individual
Enumeration date	05/23/2006
Last updated	04/22/2026 - About 1 months ago
Sole proprietor ¹	No
Identifiers	DE License # C1-0025650 FL License # ME134254 IL License # 036-107562 IL License # 036107562 MD License # D57087 MO License # 110062 NV License # 12090 OH License # 35-07-4492-S TX License # L6173 VA License # 0101049809 IL Medicaid 0361075621 Other 300134723 RR MEDICARE
Hospital affiliation(s)	COMMUNITY REGIONAL MEDICAL CENTER - (Acute Care) 2823 FRESNO STREET FRESNO, CA 93715 PROVENA ST MARYS HOSPITAL - (Acute Care) 500 W COURT ST KANKAKEE, IL 60901 RIVERSIDE MEDICAL CENTER - (Acute Care) 350 N WALL ST KANKAKEE, IL 60901 ST JOSEPH MEDICAL CENTER - (Acute Care) 2200 E WASHINGTON BLOOMINGTON, IL 61701 THOREK MEMORIAL HOSPITAL - (Acute Care) 850 W IRVING PARK RD CHICAGO, IL 60613

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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FARID F SHAFAIE, M.D. – NPI #1306891841Diagnostic Radiology

Contact Information

Specialty

Diagnostic Radiology

Neuroradiology

NPI Profile & details for FARID F SHAFAIE · (Male)

Reviews for FARID F SHAFAIE

FARID F SHAFAIE, M.D. – NPI #1306891841
Diagnostic Radiology