Shah, Jalaal
Shah, Jalaal is an individual health care provider with primary practice located at 400 S Kennedy Dr Ste 100 , Bradley IL 60915-2685. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shah, Jalaal can be contacted via phone (815) 928-8050.Contact Information
Primary practice address
400 S Kennedy Dr Ste 100
Bradley IL 60915-2685
Phone: (815) 928-8050
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 20A15237 | California |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Illinois | |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-151986 | Illinois |
Profile Details
NPI number | 1619240595 |
---|---|
LBN Legal business name | Shah, Jalaal |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2012 |
Last updated | Nov 11th, 2020 - about 5 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.
Popular Providers
-
Smit, Milton John
400 S Kennedy Dr , Bradley IL 60915 -
Antkowiak, Tomasz Taduesz
400 S Kennedy Dr Suite 100, Bradley IL 60915 -
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Babins, David M
300 State St Ste 400A, Erie PA 16507-1427 -
Rolle, Garrison A
3334 Capital Medical Blvd Ste 400, Tallahassee FL 32308-8405 -
Boone, David W
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Park, Thomas M
3334 Capital Medical Blvd Ste. 400, Tallahassee FL 32308-8405 -
Corcoran, Michael John
400 South Kennedy Dr , Bradley IL 60915