Active NPI 1215324462 Individual Practitioner Male Practitioner

Dr. Shalin Shah , MD

Internal Medicine • Plainfield, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Shalin Shah, MD is a certified Internal Medicine practicing in Plainfield, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Shah delivers high-quality medical care to the local community at 12004 S ROUTE 59 UNIT 100.

Dr. Shah is affiliated with Dupage Medical Group Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use), injection, pembrolizumab, 1 mg, injection, fosaprepitant, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12004 S Route 59 Unit 100

Plainfield, IL 605855108

Telephone 6303647850

Fax 6304326604

Associated Practice Facility / Clinic

🏢 Du Page Medical Group Ltd Facility NPI 1437633930

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plainfield, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -11.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

15 Specialists

Practicing in Plainfield, IL (7544 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (12 Years) 12 Yrs

Plainfield Specialty Average (23.3 Years) 23.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	62,730	66	$3.00	$0.35
J9271 Injection, pembrolizumab, 1 mg	24,400	25	$82.25	$56.30
J1453 Injection, fosaprepitant, 1 mg	16,650	49	$3.00	$0.14
J9263 Injection, oxaliplatin, 0.5 mg	15,800	15	$30.00	$0.07
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	9,850	32	$81.00	$42.56
J1756 Injection, iron sucrose, 1 mg	9,500	15	$1.00	$0.22
J3380 Injection, vedolizumab, intravenous, 1 mg	9,300	11	$35.00	$21.93
J0897 Injection, denosumab, 1 mg	7,200	37	$30.50	$25.80
J1568 Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	6,130	12	$257.00	$46.26
J2919 Injection, methylprednisolone sodium succinate, 5 mg	5,032	18	$1.00	$0.29
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	4,870	31	$21.64	$7.24
J1745 Injection, infliximab, excludes biosimilar, 10 mg	2,060	13	$149.00	$31.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,722	55	$1.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	1,183	368	$20.00	$8.64
J2469 Injection, palonosetron hcl, 25 mcg	1,110	49	$142.00	$0.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,038	340	$40.00	$7.61
J0640 Injection, leucovorin calcium, per 50 mg	970	16	$12.00	$4.38
J2405 Injection, ondansetron hydrochloride, per 1 mg	944	23	$10.00	$0.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	792	363	$229.33	$130.68
80053 Blood test, comprehensive group of blood chemicals	670	216	$55.00	$10.35
J9190 Injection, fluorouracil, 500 mg	648	19	$8.00	$2.80
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	585	207	$201.00	$64.18
96375 Injection of additional new drug or substance into vein	553	101	$54.00	$15.67
96413 Infusion of chemotherapy into a vein up to 1 hour	460	128	$380.00	$133.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	320	104	$62.19	$14.66
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg	288	12	$740.00	$129.24
83540 Iron level	261	152	$33.00	$6.34
83550 Iron binding capacity	261	152	$45.00	$8.57
96415 Administration of chemotherapy into vein, each additional hour	239	64	$95.00	$28.51
J9045 Injection, carboplatin, 50 mg	235	14	$50.00	$3.52
82728 Ferritin (blood protein) level	229	133	$70.00	$13.36
J3489 Injection, zoledronic acid, 1 mg	214	41	$416.00	$6.43
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	194	61	$95.00	$28.99
96417 Administration of additional new drug or substance into vein, 1 hour or less	156	47	$189.00	$65.78
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	155	21	$70.00	$20.79
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	134	34	$202.00	$74.08
J1200 Injection, diphenhydramine hcl, up to 50 mg	131	51	$3.00	$0.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	58	$151.00	$80.04
82607 Cyanocobalamin (vitamin B-12) level	97	82	$77.00	$14.78
82746 Folic acid level	92	78	$77.00	$14.23
84443 Blood test, thyroid stimulating hormone (TSH)	80	22	$86.00	$16.46
96411 Administration of additional new drug or substance into vein using push technique	77	26	$167.00	$56.01
83615 Lactate dehydrogenase (enzyme) level	75	39	$30.00	$5.92
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	67	22	$33.00	$6.34
99442 Telephone medical discussion with physician, 11-20 minutes	65	41	$179.00	$92.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	62	62	$443.00	$222.00
85007 Microscopic examination for white blood cells with manual cell count	61	21	$18.00	$3.72
J7030 Infusion, normal saline solution , 1000 cc	58	26	$23.00	$2.61
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l	57	18	$785.00	$268.52
83735 Magnesium level	56	23	$34.00	$6.57
96361 Hydration infusion into a vein	52	22	$45.00	$12.72
82378 Carcinoembryonic antigen (cea) protein level	52	20	$97.00	$18.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	15	$15.00	$1.29
96523 Irrigation of implanted venous access drug delivery device	49	31	$67.00	$25.81
84100 Phosphate level	46	19	$25.00	$4.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	38	$307.00	$185.25
96368 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion	42	14	$50.00	$20.14
96360 Infusion into a vein for hydration, 31-60 minutes	38	19	$156.00	$33.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$359.00	$172.79
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	14	$95.00	$36.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$431.00	$175.94
82565 Blood creatinine level	29	26	$26.00	$4.87
85652 Red blood cell sedimentation rate, to detect inflammation, automated	26	13	$14.00	$2.65
86140 Measurement C-reactive protein for detection of infection or inflammation	26	14	$27.00	$5.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	23	$295.00	$132.63
85045 Red blood count, automated test	21	16	$21.00	$3.91
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$157.00	$92.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	12	$218.00	$120.48
99195 Drawing of blood for a medical problem	14	11	$219.00	$94.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	22,440	27	$2.98	$0.50
J1453 Injection, fosaprepitant, 1 mg	8,250	27	$3.00	$0.15
J3380 Injection, vedolizumab, intravenous, 1 mg	7,500	12	$34.28	$21.97
J9267 Injection, paclitaxel, 1 mg	5,424	13	$5.00	$0.12
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	5,075	22	$81.00	$42.41
J1568 Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	2,190	15	$257.00	$43.53
J0897 Injection, denosumab, 1 mg	2,100	15	$27.00	$23.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,204	41	$1.00	$0.12
J1745 Injection, infliximab, excludes biosimilar, 10 mg	1,200	14	$149.00	$32.60
J2469 Injection, palonosetron hcl, 25 mcg	560	28	$142.00	$1.00
36415 Insertion of needle into vein for collection of blood sample	523	194	$20.00	$8.36
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	457	169	$40.00	$7.57
96375 Injection of additional new drug or substance into vein	292	63	$54.00	$16.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	153	$229.00	$130.86
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	281	138	$201.00	$67.36
80053 Blood test, comprehensive group of blood chemicals	279	113	$55.00	$10.32
96413 Infusion of chemotherapy into a vein up to 1 hour	210	89	$380.00	$137.45
83540 Iron level	131	78	$33.00	$6.34
83550 Iron binding capacity	131	78	$45.00	$8.57
82728 Ferritin (blood protein) level	108	63	$70.00	$13.36
J3489 Injection, zoledronic acid, 1 mg	108	22	$416.00	$9.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	101	101	$443.00	$226.69
96415 Administration of chemotherapy into vein, each additional hour	96	39	$95.00	$28.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	96	45	$62.00	$14.66
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	95	39	$95.00	$30.10
J1200 Injection, diphenhydramine hcl, up to 50 mg	86	38	$2.90	$1.02
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	71	23	$70.00	$21.33
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	69	11	$15.00	$5.32
99442 Telephone medical discussion with physician, 11-20 minutes	63	35	$179.00	$94.02
82746 Folic acid level	59	49	$77.00	$14.41
82607 Cyanocobalamin (vitamin B-12) level	59	49	$77.00	$14.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	38	$151.00	$81.67
96417 Administration of additional new drug or substance into vein, 1 hour or less	56	26	$189.00	$67.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$295.00	$134.79
J7030 Infusion, normal saline solution , 1000 cc	51	17	$23.00	$2.54
96360 Infusion into a vein for hydration, 31-60 minutes	50	16	$156.00	$34.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	38	$307.00	$181.67
J3490 Unclassified drugs	37	15	$10.00	$0.79
83615 Lactate dehydrogenase (enzyme) level	29	18	$30.00	$5.73
85045 Red blood count, automated test	23	23	$21.00	$3.91
85007 Microscopic examination for white blood cells with manual cell count	21	13	$18.00	$3.72
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	21	13	$33.00	$6.34
96523 Irrigation of implanted venous access drug delivery device	19	14	$67.00	$26.88
82565 Blood creatinine level	14	13	$26.00	$5.02
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	13	12	$95.00	$35.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$431.00	$178.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	37,230	43	$2.00	$0.84
J1453 Injection, fosaprepitant, 1 mg	6,300	24	$3.00	$0.17
J9271 Injection, pembrolizumab, 1 mg	5,600	12	$82.25	$52.86
J0897 Injection, denosumab, 1 mg	4,920	33	$27.00	$21.56
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	1,475	13	$81.00	$41.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,252	39	$1.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	500	193	$20.00	$2.96
J2469 Injection, palonosetron hcl, 25 mcg	460	26	$142.00	$0.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	438	175	$40.00	$7.67
80053 Blood test, comprehensive group of blood chemicals	388	146	$55.00	$10.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	156	$229.00	$135.37
96375 Injection of additional new drug or substance into vein	309	64	$54.00	$16.90
J3475 Injection, magnesium sulfate, per 500 mg	230	13	$3.00	$0.66
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg	228	11	$740.00	$167.45
96413 Infusion of chemotherapy into a vein up to 1 hour	201	81	$380.00	$146.49
J9190 Injection, fluorouracil, 500 mg	189	12	$8.00	$2.19
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	179	98	$201.00	$71.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	152	68	$62.00	$15.05
82728 Ferritin (blood protein) level	105	69	$70.00	$13.43
96415 Administration of chemotherapy into vein, each additional hour	104	39	$95.00	$30.73
83550 Iron binding capacity	104	67	$45.00	$8.61
83540 Iron level	103	67	$33.00	$6.37
J1200 Injection, diphenhydramine hcl, up to 50 mg	96	34	$2.00	$1.15
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	87	34	$95.00	$32.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	75	75	$443.00	$235.82
99442 Telephone medical discussion with physician, 11-20 minutes	62	42	$179.00	$94.52
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	53	12	$70.00	$22.08
82607 Cyanocobalamin (vitamin B-12) level	46	39	$77.00	$14.85
82746 Folic acid level	46	39	$77.00	$14.48
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$157.00	$97.02
96417 Administration of additional new drug or substance into vein, 1 hour or less	39	21	$189.00	$71.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$359.00	$175.43
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	38	14	$15.00	$5.58
83735 Magnesium level	37	17	$34.00	$6.63
J7030 Infusion, normal saline solution , 1000 cc	35	20	$23.00	$2.66
84100 Phosphate level	35	13	$25.00	$4.68
96360 Infusion into a vein for hydration, 31-60 minutes	33	17	$156.00	$36.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	26	$307.00	$191.76
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	31	12	$33.00	$6.42
85007 Microscopic examination for white blood cells with manual cell count	30	11	$18.00	$3.77
83615 Lactate dehydrogenase (enzyme) level	23	19	$30.00	$5.98
96523 Irrigation of implanted venous access drug delivery device	21	15	$67.00	$28.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	20	11	$15.00	$1.64
96411 Administration of additional new drug or substance into vein using push technique	18	12	$167.00	$61.79
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l	18	11	$785.00	$268.66
82378 Carcinoembryonic antigen (cea) protein level	18	15	$97.00	$18.76
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	11	$95.00	$35.52
84520 Urea nitrogen level to assess kidney function	14	14	$20.00	$3.88
85045 Red blood count, automated test	14	14	$21.00	$3.94
82565 Blood creatinine level	14	14	$26.00	$5.04
86140 Measurement C-reactive protein for detection of infection or inflammation	12	12	$27.00	$5.11
85652 Red blood cell sedimentation rate, to detect inflammation, automated	11	11	$14.00	$2.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	8,160	12	$2.00	$0.99
J0897 Injection, denosumab, 1 mg	1,440	12	$27.00	$21.18
36415 Insertion of needle into vein for collection of blood sample	94	53	$20.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	66	43	$40.00	$7.77
96375 Injection of additional new drug or substance into vein	61	24	$54.00	$18.02
80053 Blood test, comprehensive group of blood chemicals	55	39	$55.00	$10.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	36	$229.00	$138.80
96413 Infusion of chemotherapy into a vein up to 1 hour	46	29	$380.00	$157.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$359.00	$177.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	27	$62.00	$14.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$784.00	$187.62
96415 Administration of chemotherapy into vein, each additional hour	35	14	$95.00	$33.14
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	35	25	$201.00	$75.70
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$157.00	$97.92
J1200 Injection, diphenhydramine hcl, up to 50 mg	28	18	$2.00	$0.98
82728 Ferritin (blood protein) level	25	14	$70.00	$13.63
99220 Hospital observation care, typically 70 minutes	20	20	$720.00	$174.39
82607 Cyanocobalamin (vitamin B-12) level	16	15	$77.00	$15.08
82746 Folic acid level	16	15	$77.00	$14.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$784.00	$196.56
99220 Hospital observation care, typically 70 minutes	17	17	$720.00	$180.16

Medical Specialties & State Licenses

CMS Verified: 2023-08-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036144283

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 125-066330

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036144283 (IL)

Hospital & Practice Group Affiliations

Dupage Medical Group Ltd

17495 La Grange Rd, Tinley Park, IL 604877581

Phone: 7082267000

Secondary Practice Locations

17495 La Grange Rd

Tinley Park, IL 604877581

Phone: 7082267000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners

Catherine Czaja , APRN

Nurse Practitioner

NPI 1073183364

Advanced Practice Registered Nurse

Anmol Patel , APN

Nurse Practitioner

NPI 1124873690

Advanced Practice Nurse

Dr. Brian Myre , MD

Internal Medicine - Hematology & Oncology

NPI 1194986703

Doctor of Medicine (M.D.)

Susan Hawbaker , APN

Nurse Practitioner - Adult Health

NPI 1205192846

Advanced Practice Nurse

Emily Clapsaddle , APN

Nurse Practitioner

NPI 1205360385

Advanced Practice Nurse

Dr. Saud Siddiqui , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1275916918

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location August 18, 2023

Registered at 12004 S ROUTE 59 UNIT 100, PLAINFIELD, IL 605855108 (Tel: 6303647850)

📍

Updated Business Mailing Address August 18, 2023

Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304699200)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2022

Internal Medicine (License #125-066330 in IL)

📍

Updated Practice Location August 03, 2021

Registered at 17495 LA GRANGE RD, TINLEY PARK, IL 604877581 (Tel: 7082267000)

📍

Updated Business Mailing Address August 03, 2021

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606740018 (Tel: 6304699200)

✅

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 15, 2017

Registered at 180 HARVESTER DR STE 110, BURR RIDGE, IL 605276686 (Tel: (773) 702-1150)

📍

Updated Practice Location September 15, 2017

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011718 (Tel: 8475702509)

👤

Provider Name / Credentials Updated September 15, 2017

Recorded as SHALIN SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Internal Medicine (License #036144283 in IL)

✅

NPI Profile Active July 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2015

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011718 (Tel: 8475702509)

📍

Updated Business Mailing Address July 05, 2015

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011718

👤

Provider Name / Credentials Updated July 05, 2015

Recorded as SHALIN SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2015

Internal Medicine (License #125-066330 in IL)

🟢

Initial NPI Registration & Enumeration April 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215324462

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2015

Last Update: August 18, 2023

Sole Proprietor: No

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Mailing Address

Po Box 713260

Chicago, IL 606771260

Phone: 6304699200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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