Shah Alam PC
Shah Alam PC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2701 W 68th St Holy Cross HospitalChicago, IL 60629-1813 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 884-9000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036114268 (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036114268 (IL) |
Record details
| NPI number | 1457698748 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shah Alam — President · (630) 306-7944 |
| NPI enumerated | January 7, 2013 |
| Last updated in NPPES | January 8, 2013 |
| Mailing address | 1057 Cherry Ln, Lombard, IL 60148-4033 |
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