| Sunil K. Shah D.o, S.c | |
|
4647 W 103rd St Ste 1i Oak Lawn IL 60453-4792 | |
| (708) 423-7424 | |
| Not Available |
| Full Name | Sunil K. Shah D.o, S.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 4647 W 103rd St Ste 1i, Oak Lawn, Illinois |
| Authorized Official Name and Position | Sunil K Shah (PRESIDENT) |
| Authorized Official Contact | 8154647436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunil K. Shah D.o, S.c 7641 Newfield Ln Tinley Park IL 60477-5539 Ph: () - | Sunil K. Shah D.o, S.c 4647 W 103rd St Ste 1i Oak Lawn IL 60453-4792 Ph: (708) 423-7424 |
| NPI Number | 1184633356 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 02/12/2020 |
| Medicare PECOS PAC ID | 2163475484 |
|---|---|
| Medicare Enrollment ID | O20050228000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184633356 | NPI | - | NPPES |
| 036105759 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036105759 (Illinois) | Primary |
| Provider Name | Sunil K Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275517211 PECOS PAC ID: 6103816244 Enrollment ID: I20040512001234 |
| Provider Name | Mary E Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699714907 PECOS PAC ID: 5799746327 Enrollment ID: I20041026000719 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Windy City Pain Relief, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5571 W 95th St, Oak Lawn, IL 60453 Phone: 708-972-9695 Fax: 708-401-0194 | |
Advanced Wound Care Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 W 111th St Ste 2, Oak Lawn, IL 60453 Phone: 708-424-7600 Fax: 708-424-7605 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |