Organization · NPI-2

A. N. Shah MD Sc

Family Medicine · Chicago, IL

NPI number1811905185
StatusActive
Last updated in NPPESNov 17, 2009

Details

NPI
1811905185
Entity type
Organization (NPI-2)
Legal business name
A. N. Shah MD Sc
Organization subpart
No
Enumeration date
Aug 3, 2006
Last updated
Nov 17, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036058180ILYes

Practice location

2315 E 93rd St Ste 340
Chicago, IL 60617-3948

Phone 773-468-9000 · Fax 847-587-6113

Mailing address

3040 Scott Cres
Flossmoor, IL 60422-1728

Phone 773-468-9000 · Fax 847-587-6113

Authorized official

Ashvin N Shah
Owner
7734689000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Chicago, IL