Individual
NIRAV C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Mailing address
3929 MERCY DR, MCHENRY, IL 60050-3151
(815) 759-0800
(815) 759-2367
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036091154
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036091154
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360911541
—
IL
Enumeration date
07/04/2006
Last updated
04/02/2024
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