Individual
RAKHI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
351 DELNOR DR, GENEVA, IL 60134-4222
(630) 208-0784
(630) 208-0981
Mailing address
351 DELNOR DR, GENEVA, IL 60134-4222
(630) 208-0784
(630) 208-0981
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
036115135
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115135
—
IL
01
—
1376643767
GROUP NPI
IL
01
—
206147
MEDICARE GROUP
IL
01
—
F400231118
MEDICARE INDIVIDUAL
IL
Enumeration date
01/10/2007
Last updated
03/17/2018
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