Shah, Vibhakar Shantilal
Shah, Vibhakar Shantilal is an individual health care provider with primary practice located at 222 S Greenleaf St Suite No. 109, Gurnee IL 60031-5705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shah, Vibhakar Shantilal can be contacted via phone (847) 249-0167.Contact Information
Primary practice address
222 S Greenleaf St Suite No. 109
Gurnee IL 60031-5705
Phone: (847) 249-0167
Fax: (847) 249-0717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036053632 | Illinois |
Profile Details
| NPI number | 1649268780 |
|---|---|
| LBN Legal business name | Shah, Vibhakar Shantilal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jan 11th, 2008 - about 16 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 | 1649268780 | NPPES |
| Illinois | Other | 791041099 | RR MEDICARE |
| Illinois | Other | L009488 | RR MEDICARE |
| Illinois | MEDICAID | 036053632 | RR MEDICARE |
| Illinois | Other | 0004900801 | RR MEDICARE |
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