| Prabodh C Shah, MD | |
|
2800 W 95th St, Cancer Center, Evergreen Park, IL 60805-2701 | |
| (708) 229-6020 | |
| (708) 229-6083 |
| Full Name | Prabodh C Shah |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 2800 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316935240 | NPI | - | NPPES |
| 036042091 | Other | IL | LICENSE |
| 036042091 | Medicaid | IL | |
| M050376 | Other | CA | GROUP |
| 00A257470 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 036042091 (Illinois) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | A25747 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Prabodh C Shah, MD 2800 W 95th St, Cancer Center, Evergreen Park, IL 60805-2701 Ph: (708) 229-6020 | Prabodh C Shah, MD 2800 W 95th St, Cancer Center, Evergreen Park, IL 60805-2701 Ph: (708) 229-6020 |
Dr. Thomas Bump, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 | |
Dolores Dixon-grevious, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 301, Evergreen Park, IL 60805 Phone: 708-389-2200 Fax: 708-389-6686 | |
Vinitha Raghavan, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3358 W 95th St, Evergreen Park, IL 60805 Phone: 708-952-3040 Fax: 708-952-3043 | |
Wassim Ballany, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 | |
Dr. George Sousanieh, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715 | |
Dr. John H Burke, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 Fax: 708-346-2059 | |
Dr. Richard D. Kern, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Pulmonary Medicine Consultants, Ltd., Evergreen Park, IL 60805 Phone: 708-424-9288 |