Organization
INDIAN AMERICAN MEDICAL ASSOCIATION CHARITABLE FOUNDATION(IAMACF)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR SHAH MD (CHAIR PERSON)
(708) 638-1546
Entity
Organization
Contact information
Practice address
2645 W. PETERSON AVENUE, CHICAGO, IL 60659
(773) 275-8630
(773) 275-8635
Mailing address
2645 W. PETERSON AVENUE, CHICAGO, IL 60659
(773) 275-8630
(773) 275-8635
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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