Individual
NIKUNJ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S. WOOD ST., UNIVERSITY OF ILLINOIS MEDICAL CENTER, CHICAGO, IL 60612
(312) 413-9037
(312) 996-1334
Mailing address
840 S. WOOD ST. 1029 CSB BLDG., UNIVERSITY OF ILLINOIS MEDICAL CENTER, CHICAGO, IL 60612
(312) 413-9037
(312) 996-1334
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36051792
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36051792
—
IL
01
—
L99678
MEDICARE
IL
Enumeration date
01/19/2006
Last updated
03/12/2024
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