Devina Shah SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036059687 Issued in IL

Legal business name

DEVINA SHAH SC

Practice address

11240 S Michigan Ave
Chicago, IL 60628-4941

Phone

(773) 468-9000

NPI assigned

Jan 17, 2011

Organization subpart

No

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

Authorized official

Name

Devina Shah, MD

Title

Owner/Physician

Phone

(773) 768-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1447555800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284941",
            "telephone_number": "773-468-9000",
            "fax_number": "773-995-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284941",
            "telephone_number": "773-468-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINA SHAH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DEVINA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "773-768-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036059687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Developmental Therapeutics Fellowship
• Faith Lauren Devengencie, DDS
• Danielle S Dever, DC
• Jennifer Nicole Dever, M.A., CF-SLP
• Mary Louise Devereux, PHARMD
• Devina Shah SC
• Cassie Devine, LAC.
• Maeve Devine, PA-C
• Sharon E. Devita, DN
• Michael Devito, LMFT

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.