NPI 1053313775

Parthiv Shah, MD

Practitioner Specialist Gurnee, IL

Practice location

Address: 1790 Nations Dr Suite 102, Gurnee, IL 60031-9164
Phone: (847) 662-4455
Fax: (847) 662-9940

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036-111246 (IL)

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Registry record

NPI: 1053313775
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2005
Record last updated: 28 Jan 2013

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.