K S SHAH MD SC (NPI# 1487920252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487920252 |
| Entity Type | Organization |
| Organization Name | K S SHAH MD SC |
| Practice Address |
17680 Kedzie Ave Ste 201 Hazel Crest IL 60429-2043 |
| Practice Telephone | 7087995420 |
| Practice Fax Number | 7087994093 |
| Mailing Telephone | 7087995420 |
| Mailing Fax Number | 7087994093 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | MRS. DONNA M PETERSON (OFFICE MANAGER) |
| Authorized Official Telephone | 7087995420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 36-048096 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
17680 KEDZIE AVE STE 201 |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328185 | Krishna Sunkara | Internal Medicine | 17680 Kedzie Ave, 101, Hazel Crest, IL 60429-2043 | 2005-07-05 |
| 1003098914 | Neelam Motilal Bhatia | Nuclear Medicine | 17680 Kedzie Ave, Suite 101, Hazel Crest, IL 60429-2043 | 2007-12-03 |
| 1891984019 | Amarjit S Bhasin Md Ltd | Psychiatry & Neurology | 17680 Kedzie Ave, Suite 105, Hazel Crest, IL 60429 | 2007-10-24 |
| 1942336755 | Parikh & Abbasi Mdsc | Internal Medicine | 17680 Kedzie Ave, Suite 206, Hazel Crest, IL 60429-2043 | 2007-02-26 |
| 1952467375 | Intra-hearts Service Corporation | Internal Medicine | 17680 Kedzie Ave, Suite 106, Hazel Crest, IL 60429-2043 | 2006-12-29 |
| 1255495701 | Tahir A Abbasi | Internal Medicine | 17680 Kedzie Ave, Suite 206, Hazel Crest, IL 60429-2043 | 2006-12-20 |
| 1801959705 | Samuel P Mathew | Internal Medicine | 17680 Kedzie Ave, Suite 106, Hazel Crest, IL 60429-2043 | 2006-12-19 |
| 1518975432 | Amarjit Singh Bhasin | Psychiatry & Neurology | 17680 Kedzie Ave, Suite 105, Hazel Crest, IL 60429 | 2006-08-04 |
| 1447206990 | Prakash G Sane Md Sc | Internal Medicine | 17680 Kedzie Ave, Suite 201, Hazel Crest, IL 60429-2043 | 2006-05-26 |
| 1194770586 | Krishna Sunkara Md Sc | Internal Medicine | 17680 Kedzie Ave, Suite 101, Hazel Crest, IL 60429-2043 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891862959 | Kumudchandra S Shah | Obstetrics & Gynecology | 17680 S Kedzie Ave, Suite 201, Hazel Crest, IL 60429-2043 | 2006-11-30 |
| 1538640495 | Lodestar Obstetrics and Gynecology Ltd | Obstetrics & Gynecology | 17850 Kedzie Ave Ste 3300, Hazel Crest, IL 60429-2086 | 2018-08-28 |
| 1346434651 | Womens Wellness World Sc | Obstetrics & Gynecology | 17850 Kedzie Ave, #2600, Hazel Crest, IL 60429-2058 | 2007-08-29 |
| 1306931951 | Monique Deneen Jones | Obstetrics & Gynecology | 17850 Kedzie Ave Ste 1500, Hazel Crest, IL 60429-2055 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162210 | Clair L Casagrande | Obstetrics & Gynecology | 1300 Franklin Ave Ste 330, Normal, IL 61761-4204 | 2020-10-23 |
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1851910210 | Wayne Richard Burrows | Obstetrics & Gynecology | 1412 S Diamond St, South Jacksonville, IL 62650-3143 | 2020-04-15 |
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1962050971 | Jessica Erin Buesing | Obstetrics & Gynecology | 27790 W Highway 22 Ste 37, Barrington, IL 60010-2396 | 2019-09-03 |
| 1235784760 | Gynecologic Surgery & Menopause Solutions PC | Obstetrics & Gynecology | 1890 Silver Cross Blvd Ste 445, New Lenox, IL 60451-9622 | 2019-08-01 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1164980769 | Hanna Legator | Obstetrics & Gynecology | 1875 Dempster St Ste 300, Park Ridge, IL 60068-1186 | 2019-03-04 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
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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.