BHAVEN SHAH (NPI# 1558387654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558387654 |
| Entity Type | Individual |
| Full Name | BHAVEN SHAH |
| Credential | MD |
| Practice Address |
9201 Waukegan Rd Morton Grove IL 60053 |
| Mailing Address |
9201 Waukegan Rd Morton Grove IL 60053-2102 |
| Practice Telephone | 8477594770 |
| Practice Fax Number | 8477598824 |
| Mailing Telephone | 8477594770 |
| Mailing Fax Number | 8477598824 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-109453 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036109453 | 05 |
| Street Address |
9201 WAUKEGAN RD |
| City | MORTON GROVE |
| State | IL |
| Zip Code | 60053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928714 | George Brodsky | Family Medicine | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2006-01-27 |
| 1467811927 | Donna Rathunde | Specialist/Technologist | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2016-02-12 |
| 1770901878 | Damaris Stoia | Nurse Practitioner | 9201 Waukegan Rd, Morton Grove, IL 60053 | 2014-04-04 |
| 1679904403 | Christy Mcneela Gernhofer | Nurse Practitioner | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2013-12-04 |
| 1073802435 | Michael James Katsoulis | Internal Medicine | 9201 Waukegan Rd, Morton Grove, IL 60053 | 2011-04-06 |
| 1699958207 | Advanced Primary Care, Sc | Clinic/Center | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2007-12-06 |
| 1851571426 | Mary Macgregor | Internal Medicine | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2007-11-12 |
| 1962571737 | Travel Medicine Source Ltd | Internal Medicine | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2006-11-07 |
| 1083681431 | North Suburban Pulmonary & Critical Care Consultants, S.c. | Internal Medicine | 9201 Waukegan Rd, Morton Grove, IL 60053-2102 | 2006-03-03 |
| 1114998713 | Arvey M Stone | Internal Medicine | 9201 Waukegan Rd, Morton Grove, IL 60053 | 2006-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536206 | 360 Rehabilitation & Physical Therapy LLC | Clinic/Center | 9041 Moody Avenue, Morton Grove, IL 60053 | 2019-09-06 |
| 1205312147 | Ziing Healthcare, Inc | Nursing Care | 6126 Lincoln Ave, Suite 1010, Morton Grove, IL 60053 | 2018-07-13 |
| 1578053674 | Megan Ruffalo | Home Health | 8922 Marion Ave, Morton Grove, IL 60053 | 2018-05-14 |
| 1215441381 | Kristen Marie Kowalski | Occupational Therapist | 8145 River Dr Ste 101, Morton Grove, IL 60053 | 2017-11-27 |
| 1760846190 | Lukasz Jarosinski | Physical Therapy Assistant | 8425 N Waukegan, Morton Grove, IL 60053 | 2016-04-12 |
| 1538547898 | Alysha Gillani | Behavioral Analyst | 9240 Merrill Ave, Morton Grove, IL 60053 | 2015-05-07 |
| 1043578909 | Jordan Jon Wolf | Social Worker | 9224 Cameron Lane, Morton Grove, IL 60053 | 2012-04-30 |
| 1427217454 | Amy Sakoda | Specialist | 9400 N Orile, Morton Grove, IL 60053 | 2008-06-05 |
| 1063679348 | Minsook Do Kroon | Chiropractor | 6021 W Dempster, Morton Grove, IL 60053 | 2008-05-22 |
| 1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
| Find all providers in zip 60053 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740946 | Congbin Wang | Internal Medicine | 8630 Ferris Ave Unit 101, Morton Grove, IL 60053-2833 | 2013-06-23 |
| 1013208537 | Akg Medical Service Corporation | Internal Medicine | 8344 Concord Dr, Morton Grove, IL 60053-2234 | 2011-05-02 |
| 1699078238 | Presence Healthcare Services | Internal Medicine | 5747 West Dempster Street, Morton Grove, IL 60053-3056 | 2010-12-20 |
| 1568597441 | Allan B Sutow | Internal Medicine | 5747 W Dempster, Suite 400, Morton Grove, IL 60053-3056 | 2007-02-22 |
| 1013051705 | Issam Moussa Maatouk | Internal Medicine | 5630 Lyons St, Morton Grove, IL 60053-1546 | 2007-02-16 |
| 1043237969 | Concourse Medical Associates, Ltd | Internal Medicine | 5410 Warren St, Morton Grove, IL 60053-3639 | 2006-07-16 |
| 1235136961 | Kathy Bailey | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2005-07-07 |
| 1356601256 | Hillary Cohen Ecker | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2012-05-24 |
| 1841582434 | David I. Weiss Md Sc | Internal Medicine | 9129 Waukegan Rd, Morton Grove, IL 60053-2120 | 2011-05-14 |
| 1073802435 | Michael James Katsoulis | Internal Medicine | 9201 Waukegan Rd, Morton Grove, IL 60053 | 2011-04-06 |
| Find all providers in MORTON GROVE | ||||
| City | MORTON GROVE |
| Zip Code | 60053 |
Please comment or provide details below to improve the information on BHAVEN SHAH.
| 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.