DR. MOUSAMI SHAH (NPI# 1043242860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043242860 |
| Entity Type | Individual |
| Full Name | DR. MOUSAMI SHAH |
| Credential | M.D. |
| Practice Address |
9831 S Western Ave Chicago IL 60643-1740 |
| Mailing Address |
12 Chatham Ln Oak Brook IL 60523-2349 |
| Practice Telephone | 7738815674 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036110949 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
9831 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667479 | Lucius C Earles | Dermatology | 9831 S Western Ave, Chicago, IL 60643-1740 | 2005-08-26 |
| 1598234999 | Colleen Marie Tumino | Registered Nurse | 9831 S Western Ave, Chicago, IL 60643-1740 | 2018-11-15 |
| 1144799446 | Robert Joseph Stachler | Massage Therapist | 9831 S Western Ave, Chicago, IL 60643-1740 | 2018-11-15 |
| 1164991568 | Karen Lynn Duggan | Registered Nurse | 9831 S Western Ave, Chicago, IL 60643-1740 | 2018-11-15 |
| 1881163285 | Megan Corr | Registered Nurse | 9831 S Western Ave, Chicago, IL 60643-1740 | 2018-11-15 |
| 1952895971 | Vaishali Shah | Pharmacist | 9831 S Western Ave, Chicago, IL 60643-1740 | 2018-06-22 |
| 1174045462 | Kinsey Nolan | Registered Nurse | 9831 S Western Ave, Chicago, IL 60643-1740 | 2017-07-09 |
| 1467981571 | Karmen Maytum | Nurse Practitioner | 9831 S Western Ave, Chicago, IL 60643-1740 | 2017-06-12 |
| 1386178226 | Kristy Hynes | Nurse Practitioner | 9831 S Western Ave, Chicago, IL 60643-1740 | 2017-04-18 |
| 1154878510 | Ewa Rafacz | Registered Nurse | 9831 S Western Ave, Chicago, IL 60643-1740 | 2016-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| 1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
| 1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
| 1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
| 1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
| 1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
| 1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.