Anil Shah MD PC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

036120006 Issued in IL

Legal business name

ANIL SHAH MD PC

Practice address

845 N Michigan Ave
Suite 934E
Chicago, IL 60611-2252

Phone

(312) 944-0117

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Anil Shah, MD

Title

Owner

Phone

(312) 944-0117

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1558505693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 934E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE",
            "address_2": "SUITE 934E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112252",
            "telephone_number": "312-944-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL SHAH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-944-0117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IL",
            "license": "036120006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph W Anicich, APRN
• Chukwunedum Aniemeka, MD
• Ndudi Christopher Aniemeka, MD
• Queennorah Anigbogu, APRN
• Haydyn Anigian
• Sandra Boafoa Anim, NP
• Anima Psychotherapy
• Juliet Aninagyei
• Halina S Aniol, M.D.
• Zbigniew Aniol, M.D.

• Facial Plastic Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Facial Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.