Active NPI
Preety Pratik Shah, D.C.
- Internist Chiropractor
- Bartlett, IL
National Provider Identifier
1083924641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 038.011715
- Practice address
- 1736 Ariana Dr
Bartlett, IL 60103-2314 - Phone
- (630) 456-0640
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 038.011715 | IL | Primary |
Addresses
Primary practice location
1736 Ariana Dr
Bartlett, IL 60103-2314
Mailing address
1736 Ariana Dr
Bartlett, IL 60103-2314
Phone (630) 456-0640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011715 | IL | MD | Internist Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1083924641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 ARIANA DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601032314",
"telephone_number": "630-456-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 ARIANA DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601032314",
"telephone_number": "630-456-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PREETY",
"middle_name": "PRATIK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "IL",
"license": "038.011715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.