Shital B Shah, MD | |
1515 Lake St, Alexian Brother St Alexius Medical Center, Hanover Park, IL 60133 | |
(847) 472-1500 | |
Not Available |
Full Name | Shital B Shah |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 52 Years |
Location | 1515 Lake St, Hanover Park, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770517070 | NPI | - | NPPES |
1619414 | Other | BCBS GROUP | |
036058187 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036058187 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loretto Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loretto Hospital | 5193725893 | 39 |
Entity Name | Physicians Immediate Care Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
Entity Name | Physicians Immediate Care North Chicago Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
Entity Name | Loretto Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447280284 PECOS PAC ID: 5193725893 Enrollment ID: O20070103000114 |
Entity Name | Ultramed Urgent Care, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124569942 PECOS PAC ID: 7517243009 Enrollment ID: O20170418001320 |
Mailing Address | Practice Location Address |
---|---|
Shital B Shah, MD 3800 W Estes Ave, Lincolnwood, IL 60712-1032 Ph: (773) 383-0006 | Shital B Shah, MD 1515 Lake St, Alexian Brother St Alexius Medical Center, Hanover Park, IL 60133 Ph: (847) 472-1500 |
Salman Khaleeluddin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 E Lake St, Hanover Park, IL 60133 Phone: 630-313-5300 | |
Dr. Ronald C Pawlowski, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1250 Bamburg Ct, Hanover Park, IL 60133 Phone: 630-837-9460 Fax: 630-837-7640 |