NPI 1003920547

Manoj Shah, MD

Practitioner Surgery Physician Park Ridge, IL

Practice location

Address: 1875 Dempster St Suite 280, Park Ridge, IL 60068-1186
Phone: (847) 318-9071
Fax: (847) 318-2535

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036068794 (IL)

Other Surgery providers in Illinois →

Surgical Critical Care Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence 036068794 (IL)

Trauma Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence 036068794 (IL)

Registry record

NPI: 1003920547
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2006
Record last updated: 20 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.