Individual
DILIP SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17901 GOVERNORS HWY, SUITE 101, HOMEWOOD, IL 60430-1144
(708) 799-0180
(708) 799-3839
Mailing address
17901 GOVERNORS HWY, SUITE 101, HOMEWOOD, IL 60430-1144
(708) 799-0180
(708) 799-3839
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21605050
BLUE CROSS BLUE SHIELD
IL
01
—
CB1134
RR MEDICARE
IL
Enumeration date
11/03/2005
Last updated
04/02/2008
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