Parthiv S Shah (NPI# 1053313775, PAC ID# 0840251187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1053313775 |
| PAC ID by PECOS | 0840251187 |
| Professional Enrollment ID | I20041020001100 |
| Full Name | Parthiv S Shah |
| Organization Legal Name | NORTH SHORE ALLERGY AND ASTHMA, S.C. |
| Address |
1790 Nations Dr Suite 102 Gurnee IL 60031-9175 |
| Phone Number | 8476624455 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1999 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9032178504 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1790 Nations Dr, Suite 102, Gurnee, IL 60031-9175 | 8476624455 | NORTH SHORE ALLERGY AND ASTHMA, S.C. |
| 1900 Hollister Dr, Suite 320, Libertyville, IL 60048-5244 | 8473671760 | NORTH SHORE ALLERGY AND ASTHMA, S.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 5% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 94% |
| Organization Legal Name | NORTH SHORE ALLERGY AND ASTHMA, S.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Daddono | Allergy/immunology | North Shore Allergy and Asthma, S.c. | 1790 Nations Dr, Suite 102, Gurnee, IL 60031-9175 |
| Street Address |
1790 NATIONS DR SUITE 102 |
| City | GURNEE |
| State | IL |
| Zip | 60031-9175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Daddono | Allergy/immunology | North Shore Allergy and Asthma, S.c. | 1790 Nations Dr, Suite 102, Gurnee, IL 60031-9175 |
| Josephine L Gonzales-chua | Physical Therapy | Center for Pelvic Wellness Inc | 1790 Nations Dr, Suite 107, Gurnee, IL 60031-9175 |
| Timothy J Casey | Podiatry | 1790 Nations Dr, Suite 106, Gurnee, IL 60031-9175 | |
| Patricia S Ryan | Psychologist, Clinical | 1790 Nations Dr, Suite 101, Gurnee, IL 60031-9175 | |
| Isaac Dor | Cardiovascular Disease (cardiology) | 1790 Nations Dr, Suite 111, Gurnee, IL 60031-9175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Caplan | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rebecca E Jacobson | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Lauren E Rosen | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Esther Y Liu | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Erik B Pauls | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Smitha K. John | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Brenda Y Kim | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rajiv K Udani | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Nancy A Nora | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Therese A Hughes | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Find all physicians in zip 60031 | |||
| City | GURNEE |
| Zip Code | 60031 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | GURNEE + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Parthiv S Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.