Individual
DR. DILIP KANTILAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S GREENLEAF ST, SUITE D, GURNEE, IL 60031-3370
(847) 336-7424
(847) 336-8776
Mailing address
1 S GREENLEAF ST, SUITE D, GURNEE, IL 60031-3370
(847) 336-7424
(847) 336-8776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036059628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02201467
BC/BS
—
Enumeration date
08/24/2005
Last updated
04/20/2022
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