Dilip M Shah MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DILIP M SHAH MD SC

Practice address

6134 S Harlem Ave
Summit, IL 60501-1625

Phone

(708) 458-0102

NPI assigned

Nov 2, 2006

Last updated

Jan 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dilip M Shah, MDNPI 1356388524

Title

Owner

Phone

(708) 458-0102

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dilip Shah, M.D.

  • Internal Medicine Physician
  • Summit, IL
  • NPI 1356388524
  Authorized official Same address or phone

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1194803494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 S HARLEM AVE",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011625",
            "telephone_number": "708-458-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 S HARLEM AVE",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011625",
            "telephone_number": "708-458-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILIP M SHAH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-458-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057272",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Ceglinski, CPNP
• Yuritzy Chavez, ED.S.
• James E Delgenio, LCPC
• Christopher J Demers, CNP, CNMW
• Dental Town Summit
• Elise Christine Drejas
• Zane Elgogari
• Crystal Epps, LCSW
• Edward Finn, MA
• Jamelie Kathleen Ford III

• Internal Medicine Physician in Summit, IL
• Providers in Summit, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.