Individual
PARAG K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE # 152, CHICAGO, IL 60611-2991
(312) 227-4000
(773) 913-0603
Mailing address
225 E CHICAGO AVE # 152, CHICAGO, IL 60611-2991
(312) 227-4000
(773) 913-0603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036111377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021622158
GROUP BLUE SHIELD NUMBER
IL
Enumeration date
03/17/2006
Last updated
04/28/2025
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