Subhash Shah MD SC

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

Organization subpart

No

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

Authorized official

Name

Subhash K Shah, MD

Title

Owner

Phone

(312) 567-5560

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "02215324",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC AID PROVIDER #",
            "identifier": "036051531 3",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine M. Suberlak
• Rosa Subero, MD
• Gunar Gonzalo Subieta Benito, MD
• Rolando Subijano, FNP-C
• Sublime Physical Therapy, PLLC
• Tisha Marie Borromeo Suboc, M.D.
• Anatoly Subota, D.C

• Rehabilitation Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Practitioner in Illinois

• 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.