Suresh C Shah (NPI# 1518040617, PAC ID# 8426007527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1518040617 |
| PAC ID by PECOS | 8426007527 |
| Professional Enrollment ID | I20050114000880 |
| Full Name | Suresh C Shah |
| Address |
1251 E Richton Rd Crete IL 60417-1623 |
| Phone Number | 7086726700 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1973 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE, GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140181 | SOUTH SHORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2425 E 71st St, Chicago, IL 60649-2612 | 7737215000 | |
| 4150 Gatling Boulevard, County Club Hills, IL 60478-2064 | 7089578300 | |
| 1251 E Richton Rd, Crete, IL 60417-1623 | 7086726700 |
| Street Address |
1251 E RICHTON RD |
| City | CRETE |
| State | IL |
| Zip | 60417-1623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Rae Delgado | Nurse Practitioner | Midwest Post Acute Care LLC | 1251 E Richton Rd, Crete, IL 60417-1623 |
| Asra B Khan | Obstetrics/gynecology | Specialty Physicians of Illinois LLC | 1251 E Richton Rd, Crete, IL 60417-1623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce W Smit | Podiatry | 24560 Kings Rd, Kings Road Prof Bldg, Crete, IL 60417 | |
| Judith A. Dygdon | Psychologist, Clinical | 1230 Main St, Crete, IL 60417-2145 | |
| Paula Thigpen | Clinical Social Worker | 2518 E Creekwood Ct, Crete, IL 60417-2603 | |
| Barbara J Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
| Daniel G Gerk | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
| Christine Marie Pong | Physical Therapy | Independence Physical Therapy PC | 1397 Main St A, Crete, IL 60417-2951 |
| Paul A Veld | Optometry | 1080 E Exchange St, Crete, IL 60417-3454 |
| City | CRETE |
| Zip Code | 60417 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CRETE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Suresh C 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.