Shah, Dilip Kantilal
Shah, Dilip Kantilal is an sole proprietor health care provider with primary practice located at 1 S Greenleaf St Suite D, Gurnee IL 60031-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shah, Dilip Kantilal can be contacted via phone (847) 336-7424.Contact Information
Primary practice address
1 S Greenleaf St Suite D
Gurnee IL 60031-3370
Phone: (847) 336-7424
Fax: (847) 336-8776
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036059628 | Illinois |
Profile Details
NPI number | 1861485930 |
---|---|
LBN Legal business name | Shah, Dilip Kantilal |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2005 |
Last updated | Apr 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861485930 | NPPES |
Other | 02201467 | BC/BS |
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