Individual
MIR JAFAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
COMPRREHENSIVE CANCER CENTER, 3900 BURKE DRIVE, OLYMPIA FIELDS, IL 60461
(709) 747-4000
Mailing address
PO BOX 226, OLYMPIA FIELDS, IL 60461-0226
(708) 709-2175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
IL
2085R0001X
Radiation Oncology Physician
Primary
036-048869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048869
—
IL
01
—
F400308371
MEDICARE INDIVIDUAL PTAN FOR SPECIALTY PHYSICIANS
—
Enumeration date
05/30/2006
Last updated
09/24/2025
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