Indira K Shah (NPI# 1881600187, PAC ID# 5193889293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1881600187 |
| PAC ID by PECOS | 5193889293 |
| Professional Enrollment ID | I20090205000041 |
| Full Name | Indira K Shah |
| Organization Legal Name | SHEFALI SHAH MD SC |
| Address |
2623 N Halsted St Chicago IL 60614-2393 |
| Phone Number | 7739297410 |
| Gender | F |
| Graduation Year | 1971 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9234354853 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140182 | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER |
| 140223 | ADVOCATE LUTHERAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2623 N Halsted St, Chicago, IL 60614-2393 | 7739297410 | SHEFALI SHAH MD SC |
| Organization Legal Name | SHEFALI SHAH MD SC |
| Physicians | 1 |
| Street Address |
2623 N HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip | 60614-2393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shefali K Shah | Family Medicine | 2623 N Halsted St, Chicago, IL 60614-2393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy P Marando | Chiropractic | Physicians Plus North Ltd | 1700 W Diversey Pkwy, 2w, Chicago, IL 60614-1010 |
| Paul A Marando | Chiropractic | Physicians Plus North Ltd | 1700 W Diversey Pkwy, 2w, Chicago, IL 60614-1010 |
| Patrick D Labelle | Chiropractic | Patrick Labelle Dc Sc | 1255 W Diversey Pkwy, Chicago, IL 60614-1201 |
| Bradley H Hirsh | Chiropractic | Patrick Labelle Dc Sc | 1255 W Diversey Pkwy, Chicago, IL 60614-1201 |
| Morgan R Copp | Occupational Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| John W Tenhundfeld | Family Medicine | 1317 W Diversey Pkwy, Chicago, IL 60614-1207 | |
| Chelsea K Root | Physical Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| Jeremy S Adelman | Physical Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| Michael S Williams | Podiatry | 2752 N Southport Ave, Chicago, IL 60614-1230 | |
| Debra E Young | Podiatry | 2752 N Southport Ave, Chicago, IL 60614-1230 | |
| Find all physicians in zip 60614 | |||
| City | CHICAGO |
| Zip Code | 60614 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CHICAGO + FAMILY PRACTICE |
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| 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.