Individual
DR. TRILOK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 DOCTORS PARK, GIBSON CITY, IL 60936
(773) 916-7595
Mailing address
420 S AHRENS AVE, LOMBARD, IL 60148-3006
(773) 916-7595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.130755
IL
2084P0800X
Psychiatry Physician
125-054753
IL
2084P0800X
Psychiatry Physician
64498-20
WI
2084P0800X
Psychiatry Physician
Primary
A120438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130755
—
IL
01
—
F400313742
MEDICARE
IL
Enumeration date
08/04/2008
Last updated
10/02/2023
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