Yatin M Shah MD SC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

YATIN M SHAH MD SC

Doing business as

primary care joliet

Practice address

2025 S Chicago Street
Joliet, IL 60436

Phone

(815) 726-2200

Fax

(815) 727-1442

NPI assigned

Sep 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yatin M Shah, M.D.NPI 1235108911

Title

Owner

Phone

(815) 726-2200

Specialties & licenses 1

Addresses

Other names 1

• primary care joliet Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yatin Shah, M.D.

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1235108911
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053410407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO STREET",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60436",
            "telephone_number": "815-726-2200",
            "fax_number": "815-727-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S CHICAGO STREET",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60436",
            "telephone_number": "815-726-2200",
            "fax_number": "815-727-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YATIN M SHAH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "YATIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-726-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "primary care joliet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Wynne, RBT
• Y.M.Shahmdsc
• Oscar Guillermo Yanes, M.A.
• Ahyun Yang, LSW
• Nelia Yarbrough
• Yatin M Shah MD SC
• Nina Yedavalli, M.D.
• Ramana Venkata Yedavalli, M.D., M.S.
• Debra Yirku, P.T.
• Jenn-Houng Yo, OTR

• Ph.D. Medical Genetics in Joliet, IL
• Providers in Joliet, IL by specialty
• Ph.D. Medical Genetics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.