Sunil K. Shah D.O, S.C

LBN: Sunil K. Shah D.O, S.C
Sunil K. Shah D.O, S.C is an health care organization with primary practice located at 4647 W 103Rd St Ste 1I , Oak Lawn IL 60453-4792. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sunil K. Shah D.O, S.C can be contacted via phone (708) 423-7424, or through Shah, Sunil K via phone (815) 464-7436.

Contact Information

Primary practice address
4647 W 103Rd St Ste 1I Oak Lawn IL 60453-4792
Phone: (708) 423-7424
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shah, Sunil K
Phone: (815) 464-7436

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036105759 Illinois

Profile Details

NPI number 1184633356
LBN Legal business name Sunil K. Shah D.O, S.C
DBA Doing business as
Authorized official Shah, Sunil K
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 12th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184633356 NPPES
Illinois MEDICAID 036105759

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