Ketan M Shah (NPI# 1689959900, PAC ID# 8921252925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689959900 |
| PAC ID by PECOS | 8921252925 |
| Professional Enrollment ID | I20130128000528 |
| Full Name | Ketan M Shah |
| Organization Legal Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Address |
1111 W Lake St Addison IL 60101-1101 |
| Phone Number | 6306827400 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981695103 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1111 W Lake St, Addison, IL 60101-1101 | 6306827400 | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| 111 N County Farm Rd, Wheaton, IL 60187-3977 | 6306827400 | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| 115 N County Farm Rd, Wheaton, IL 60187-3977 | 6306827400 | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Organization Legal Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah Grassly | Clinical Social Worker | County of Dupage Department of Health | 1111 E Jackson St, Lombard, IL 60148-3709 |
| Victoria A Wonak Bartkowiak | Clinical Social Worker | County of Dupage Department of Health | 422 N Cass Ave, Westmont, IL 60559-1502 |
| Kathleen F Daly | Clinical Social Worker | County of Dupage Department of Health | 111 N County Farm Rd, Wheaton, IL 60187-3977 |
| Anjum F Khatoon | Psychiatry | County of Dupage Department of Health | 115 N County Farm Rd, Wheaton, IL 60187-3977 |
| Stephen T Penepacker | Psychiatry | County of Dupage Department of Health | 1111 W Lake St, Addison, IL 60101-1101 |
| Gina L Haverland | Clinical Social Worker | County of Dupage Department of Health | 111 N County Farm Rd, Wheaton, IL 60187-3977 |
| Lori Runkle | Clinical Social Worker | County of Dupage Department of Health | 111 N County Farm Rd, Wheaton, IL 60187-3977 |
| Vanessa De La Mora | Clinical Social Worker | County of Dupage Department of Health | 111 N County Farm Rd, Wheaton, IL 60187-3977 |
| Solomon Kwabena Krow | Pulmonary Disease | County of Dupage Department of Health | 111 N County Farm Rd, Wheaton, IL 60187-3977 |
| Isabell Ciszewski | Clinical Social Worker | County of Dupage Department of Health | 115 N County Farm Rd, Wheaton, IL 60187-3977 |
| Street Address |
1111 W LAKE ST |
| City | ADDISON |
| State | IL |
| Zip | 60101-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Penepacker | Psychiatry | County of Dupage Department of Health | 1111 W Lake St, Addison, IL 60101-1101 |
| Ozlem Dubauskas | Psychiatry | County of Dupage Department of Health | 1111 W Lake St, Addison, IL 60101-1101 |
| Brooke Zitny | Clinical Social Worker | County of Dupage Department of Health | 1111 W Lake St, Addison, IL 60101-1101 |
| Concepta Mae V Lasquite | General Practice | Access Community Health Network | 1111 W Lake St, Addison, IL 60101-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toseef Hasan | Optometry | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | |
| Jessica R Fiala | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Adam E Brhel | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Gazanfer Mushtaq | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Shawn M Meyer | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Rachel M Olvera | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Rebecca Savanovic | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Kristen M Peterson | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Brian H Morrell | Physical Therapy | Athletico Ltd | 1776 W Centennial Pl Fl, Suite 2, Addison, IL 60101-1075 |
| Calvin R George | Chiropractic | 190 N Swift Rd S, Addison, IL 60101-1476 | |
| Find all physicians in zip 60101 | |||
| City | ADDISON |
| Zip Code | 60101 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ADDISON + NURSE PRACTITIONER |
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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.