Shyamal Bose,M.D.,S.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SHYAMAL BOSE,M.D.,S.C.

Practice address

3030 Chicago Rd
Steger, IL 60475-1055

Phone

(708) 756-3037

Fax

(708) 756-3065

NPI assigned

Feb 7, 2011

Last updated

Feb 7, 2011By 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. Shyamal Bose, M.D.

Title

President

Phone

(708) 756-3037

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1992001069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CHICAGO RD",
            "city": "STEGER",
            "state": "IL",
            "postal_code": "604751055",
            "telephone_number": "708-756-3037",
            "fax_number": "708-756-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CHICAGO RD",
            "city": "STEGER",
            "state": "IL",
            "postal_code": "604751055",
            "telephone_number": "708-756-3037",
            "fax_number": "708-756-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAMAL BOSE,M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BOSE",
        "authorized_official_first_name": "SHYAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-756-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steger School District 194

• Gastroenterology Physician in Steger, IL
• Providers in Steger, IL by specialty
• Gastroenterology Physician in Illinois

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