Shah, Manoj
Shah, Manoj is an individual health care provider with primary practice located at 1875 Dempster St Suite 280, Park Ridge IL 60068-1186. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shah, Manoj can be contacted via phone (847) 318-9071.Contact Information
Primary practice address
1875 Dempster St Suite 280
Park Ridge IL 60068-1186
Phone: (847) 318-9071
Fax: (847) 318-2535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 036068794 | Illinois |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 036068794 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036068794 | Illinois |
Profile Details
| NPI number | 1003920547 |
|---|---|
| LBN Legal business name | Shah, Manoj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Dec 20th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003920547 | NPPES |
| Illinois | MEDICAID | 036068794 |
Popular Providers
-
Carrier, Mary
1875 Dempster St Ste 280 , Park Ridge IL 60068-1157 -
Schlund, Devan
1775 Dempster St , Park Ridge IL 60068-1143 -
Mostafa, Ahmed
1775 Dempster St , Park Ridge IL 60068-1143 -
Dong, Kevin
1875 Dempster St Ste 280 , Park Ridge IL 60068-1157 -
Marinov, Marin Nikolov
1875 Dempster St Ste 465 , Park Ridge IL 60068-1129 -
Castelli, Anthony A.
1875 Dempster St Ste 280 , Park Ridge IL 60068-1157 -
Weiss, Robert
1875 Dempster St Ste 550 , Park Ridge IL 60068-1188 -
Garibashvili, Konstantin
1775 W. Dempster St. Dept. Of Anesthesia, Park Ridge IL 60068-1143