NPI 1043254980

Nishant Shah, MD

Practitioner Neurology with Special Qualifications in Child Neurology Physician Park Ridge, IL

Practice location

Address: 1675 Dempster St, Park Ridge, IL 60068-1110
Phone: (847) 723-5962
Fax: (847) 723-2325
Mailing address: 3217 Brandess Dr, Glenview, IL 60026-1177

Registered specialties

Neurology with Special Qualifications in Child Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 036-095353 (IL)

Other Psychiatry & Neurology providers in Illinois →

Registry record

NPI: 1043254980
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2006
Record last updated: 17 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.