Individual
DR. JALAAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 S KENNEDY DR STE 100, BRADLEY, IL 60915-2685
(815) 928-8050
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-151986
IL
207X00000X
Orthopaedic Surgery Physician
20A15237
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
02/22/2012
Last updated
11/11/2020
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