Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirshed Medical Center S C

Organization Internal Medicine Physician · NPI 1083880637

Mirshed Medical Center S C is an Internal Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

4255 W 63rd St
Chicago, IL 60629-5041
Phone: (773) 424-4048
Fax: (773) 424-6463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036-091913 (IL)

Record details

NPI number1083880637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nayeh Mirshed — Executive Director · (773) 424-4048
NPI enumeratedMay 5, 2008
Last updated in NPPESNovember 5, 2008
Mailing address4255 W 63rd St, Chicago, IL 60629-5041

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