Individual
DR. SHIRISH N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5600 W ADDISON ST, STE 400, CHICAGO, IL 60634-4401
(773) 283-2448
(773) 283-0205
Mailing address
1146 PARK, RIVER FOREST, IL 60305
(773) 283-2448
(773) 283-0205
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036052035
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052035
—
IL
Enumeration date
06/06/2006
Last updated
12/04/2014
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