Shah, Nirmala A.
Shah, Nirmala A. is an sole proprietor health care provider with primary practice located at 6374 N Lincoln Ave Ste 311 , Chicago IL 60659-1283. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shah, Nirmala A. can be contacted via phone (773) 539-5100.Contact Information
Primary practice address
6374 N Lincoln Ave Ste 311
Chicago IL 60659-1283
Phone: (773) 539-5100
Fax: (773) 539-7508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036058416 | Illinois |
Profile Details
| NPI number | 1215930128 |
|---|---|
| LBN Legal business name | Shah, Nirmala A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jun 5th, 2009 - about 17 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 | 1215930128 | NPPES |
| Illinois | MEDICAID | 036058416 |
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