Individual
DR. NEEL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Mailing address
3300 127TH ST, 2ND FLOOR, BLUE ISLAND, IL 60406-3802
(708) 388-0423
(708) 388-1477
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI0789
TRAVELERS GROUP PIN
IL
Enumeration date
06/15/2006
Last updated
10/18/2007
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