Organization Active NPI

Subhash Shah MD SC

  • Rehabilitation Practitioner
  • Chicago, IL
National Provider Identifier
1427019686
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
036051531 Issued in IL
Legal business name
SUBHASH SHAH MD SC
Practice address
2525 S Michigan Ave
Chicago, IL 60616-2333
Phone
(312) 567-5560
Fax
(312) 328-7732
NPI assigned
Mar 29, 2006
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Subhash K Shah, MDNPI 1518931906
Title
Owner
Phone
(312) 567-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X 036051531 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
Chicago, IL 60616-2333

Mailing address

11413 Burr Oak LN
Burr Ridge, IL 60527-8008
Phone (312) 567-5560

National Provider Directory

National Provider Directory

Locations

2525 S Michigan Ave
Ste 520
Chicago, IL 60616

5201 Willow Springs Rd
Ste 314
La Grange Highlands, IL 60525
Phone (630) 464-4458

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1427019686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 BURR OAK LN",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278008",
            "telephone_number": "312-567-5560",
            "fax_number": "312-328-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-5560",
            "fax_number": "312-328-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBHASH SHAH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-567-5560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "IL",
            "license": "036051531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.