Kunjal Shah, | |
5801 Blackstone Ave, La Grange Highlands, IL 60525-7108 | |
(708) 482-0904 | |
Not Available |
Full Name | Kunjal Shah |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 5801 Blackstone Ave, La Grange Highlands, 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 |
---|---|---|---|
1710439526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209-015057 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Chicago | 7719899426 | 1157 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198 |
Mailing Address | Practice Location Address |
---|---|
Kunjal Shah, 5801 Blackstone Ave, La Grange Highlands, IL 60525-7108 Ph: (708) 482-0904 | Kunjal Shah, 5801 Blackstone Ave, La Grange Highlands, IL 60525-7108 Ph: (708) 482-0904 |
Hillari Hanley, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6555 Willow Springs Rd, La Grange Highlands, IL 60525 Phone: 708-482-9700 Fax: 708-482-0217 | |
Mary Marlene Holmstrom, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5201 Willow Springs Rd Ste 490, La Grange Highlands, IL 60525 Phone: 708-352-4630 Fax: 708-352-8348 | |
Joanna M Lee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd Ste 380, La Grange Highlands, IL 60525 Phone: 708-354-2550 Fax: 708-354-4552 | |
Mrs. Dione F Valentino, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd Ste 260, La Grange Highlands, IL 60525 Phone: 630-573-5000 Fax: 708-354-1538 | |
Elizabeth Drumm, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd Ste 430, La Grange Highlands, IL 60525 Phone: 781-744-5115 Fax: 781-744-5687 | |
Leonor De Asis Banez, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd Ste 260, La Grange Highlands, IL 60525 Phone: 630-554-3456 | |
Jayci Nicole Dubik, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd Ste 110, La Grange Highlands, IL 60525 Phone: 708-482-4500 |