NPI 1649268780

Vibhakar Shantilal Shah, MD

Practitioner Otolaryngology Physician Gurnee, IL

Practice location

Address: 222 S Greenleaf St Suite No. 109, Gurnee, IL 60031-5705
Phone: (847) 249-0167
Fax: (847) 249-0717

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036053632 (IL)

Other Otolaryngology providers in Illinois →

Registry record

NPI: 1649268780
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2005
Record last updated: 11 Jan 2008

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.