Mir J Shah (NPI# 1720035009, PAC ID# 7810937398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1720035009 |
| PAC ID by PECOS | 7810937398 |
| Professional Enrollment ID | I20071126000036 |
| Full Name | Mir J Shah |
| Organization Legal Name | SPECIALTY PHYSICIANS OF ILLINOIS LLC |
| Address |
3900 W 203rd St Olympia Fields IL 60461-1183 |
| Phone Number | 7086792380 |
| Gender | M |
| Graduation Year | 1968 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 4183529456 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140172 | FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS |
| Address | Phone | Organization |
|---|---|---|
| 3900 W 203rd St, Olympia Fields, IL 60461-1183 | 7086792380 | SPECIALTY PHYSICIANS OF ILLINOIS LLC |
| Organization Legal Name | SPECIALTY PHYSICIANS OF ILLINOIS LLC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared Mahylis | Orthopedic Surgery | Specialty Physicians of Illinois LLC | 20201 S Crawford Ave, Suite 1400, Olympia Fields, IL 60461-1010 |
| Masood Ghouse | Hematology/oncology | Specialty Physicians of Illinois LLC | 3900 W 203rd St, Olympia Fields, IL 60461-1183 |
| Anna C Davies | Nurse Practitioner | Specialty Physicians of Illinois LLC | 3800 W 203rd St, Suite 204, Olympia Fields, IL 60461-1185 |
| Sahar Halabi | Critical Care (intensivists) | Specialty Physicians of Illinois LLC | 3700 W 203rd St, Suite 204, Olympia Fields, IL 60461-1182 |
| Eileen M Stulgis | Physician Assistant | Specialty Physicians of Illinois LLC | 3700 W 203rd St, Olympia Fields, IL 60461-1182 |
| Cherdkiat Sangkam | Cardiovascular Disease (cardiology) | Specialty Physicians of Illinois LLC | 3800 W 203rd St, Suite 204, Olympia Fields, IL 60461-1185 |
| Hakeem I Jibawi | Cardiac Electrophysiology | Specialty Physicians of Illinois LLC | 3700 W 203rd St, Suite 201, Olympia Fields, IL 60461-1182 |
| Catherine A Morrin | Qualified Audiologist | Specialty Physicians of Illinois LLC | 3700 W 203rd St, Olympia Fields, IL 60461-1182 |
| Jennifer C Anderson | Nurse Practitioner | Specialty Physicians of Illinois LLC | 3800 W 203rd St, Olympia Fields, IL 60461-1185 |
| Anil Kumar Lamba | General Surgery | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Street Address |
3900 W 203RD ST |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip | 60461-1183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Masood Ghouse | Hematology/oncology | Specialty Physicians of Illinois LLC | 3900 W 203rd St, Olympia Fields, IL 60461-1183 |
| Krishnan Srinivasan | Hematology/oncology | Specialty Physicians of Illinois LLC | 3900 W 203rd St, Olympia Fields, IL 60461-1183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shinu P Varghese | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Robert R Richardson | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Gordon A Schulz | Psychologist, Clinical | Franciscan Physician Network | 20121 Crawford Ave, Olympia Fields, IL 60461-1009 |
| Kyle J Kleist | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Jared Mahylis | Orthopedic Surgery | Specialty Physicians of Illinois LLC | 20201 S Crawford Ave, Suite 1400, Olympia Fields, IL 60461-1010 |
| Veera A Rao | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Anil Kumar Lamba | General Surgery | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Charles E Geringer | Rheumatology | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| James Siegert | Internal Medicine | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Ritchie L Ambroise | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Find all physicians in zip 60461 | |||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | OLYMPIA FIELDS + RADIATION ONCOLOGY |
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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.