DR. SUBHASH K SHAH (NPI# 1518931906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518931906 |
| Entity Type | Individual |
| Full Name | DR. SUBHASH K SHAH |
| Credential | M.D. |
| Practice Address |
11413 Burr Oak Ln Burr Ridge IL 60527-8008 |
| Mailing Address |
Po Box 206 Willow Springs IL 60480-0206 |
| Practice Telephone | 3125675560 |
| Practice Fax Number | 7733379106 |
| Mailing Telephone | 3125675560 |
| Mailing Fax Number | 7733379106 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036051531 | IL | Allopathic & Osteopathic Physicians |
| Y | 225400000X | Rehabilitation Practitioner | 036051531 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS PROVIDER # | 01619136 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528136785 | Subhash O Shah | Surgery | 310 Mill Hill Avenue, Bridgeport, CT 06484 | 2006-12-04 |
| 1588667372 | Subhash H Shah | Specialist | 220 S Hillside St Ste A, Wichita, KS 67211-2151 | 2005-05-24 |
| Street Address |
11413 BURR OAK LN |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-8008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276481 | Nicole Lewis | Rehabilitation Practitioner | 15300 W Hoff Rd, Manhattan, IL 60442-9326 | 2020-05-12 |
| 1992330799 | Complete Rehab and Consultation Inc | Rehabilitation Practitioner | 120 Sonoma Rd, New Lenox, IL 60451-3291 | 2020-03-12 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1770098220 | Corinne Nicole Nero | Rehabilitation Practitioner | 5000 S 5th Ave Bldg 113, Hines, IL 60141-3030 | 2017-12-06 |
| 1154711570 | Jonathan Robert Gilliand | Rehabilitation Practitioner | 330 Ponderosa Dr, Bradley, IL 60915-1143 | 2015-01-24 |
| 1396133609 | Benedict Chang | Rehabilitation Practitioner | 5610 N Mango Ave, Chicago, IL 60646-6306 | 2015-01-08 |
| 1417350414 | Billy Tatum | Rehabilitation Practitioner | 1436 W. Randolph, 5th Floor, Chicago, IL 60607 | 2014-10-03 |
| 1093006546 | Nicole Berlowski | Rehabilitation Practitioner | 1501 Dogwood Dr, Woodridge, IL 60517-4649 | 2011-05-02 |
| 1417261538 | Gina Graff | Rehabilitation Practitioner | 1000 N Lasalle St, Apt 518, Chicago, IL 60610-2676 | 2010-07-30 |
| 1801022041 | Children's Therapy and Rehab Specialists | Rehabilitation Practitioner | 2531 Technology Dr Ste 313, Elgin, IL 60124-7889 | 2009-06-02 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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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.