Organization
DILIP M SHAH MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILIP M SHAH MD (OWNER)
(708) 458-0102
Entity
Organization
Contact information
Practice address
6134 S HARLEM AVE, SUMMIT, IL 60501-1625
(708) 458-0102
Mailing address
6134 S HARLEM AVE, SUMMIT, IL 60501-1625
(708) 458-0102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057272
—
IL
Enumeration date
11/02/2006
Last updated
01/13/2014
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