Dr Shruti Shah, MD | |
2503 Highmoor Rd, Highland Park, IL 60035-1707 | |
(312) 933-5074 | |
Not Available |
Full Name | Dr Shruti Shah |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 2503 Highmoor Rd, Highland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386800688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 63956 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 036.121506 (Illinois) | Primary |
Entity Name | Cepamerica Illinois Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Mailing Address | Practice Location Address |
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Dr Shruti Shah, MD 2503 Highmoor Rd, Highland Park, IL 60035-1707 Ph: (312) 933-5074 | Dr Shruti Shah, MD 2503 Highmoor Rd, Highland Park, IL 60035-1707 Ph: (312) 933-5074 |
Rebecca F Nishimoto, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-926-5844 | |
Mr. Eugene E. Saltzberg, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 265 Ravine Drive, Highland Park, IL 60035 Phone: 847-432-2856 Fax: 847-780-4522 | |
Michael S. Rosenberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 913 Timber Hill Rd, Highland Park, IL 60035 Phone: 847-433-8553 | |
Mart Jalakas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 Phone: 847-480-3751 Fax: 847-480-3964 | |
Bruce A. Harris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 718 Glenview Ave, Emergency Department, Highland Park, IL 60035 Phone: 847-480-3751 Fax: 847-480-3964 | |
Jack M. Whitney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 777 Park Ave W, Emergency Dept, Highland Park, IL 60035 Phone: 847-480-3784 Fax: 847-480-2845 |