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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HARENDRA P. SHAH, PA-C

Active

Medical Physician Assistant · CHICAGO, IL

Registration Details

NPI Number
1306847207
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2005 (20.718232941438 yrs)
Last Updated
Oct 25, 2024
License
085-001700 (IL)

Practice Information

Address
6349, N FAIRFIELD AVENUE
PRISM MEDICAL CENTER
CHICAGO, IL, 606591705
Browse IL providers · Browse ZIP 60659
Phone
7732621300
Fax
7732621184
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CHICAGO, IL

Name Credential NPI
MRS. JOANNE SIM BAVELIS PAC 1063406718
MS. TRACI AARON PA-C 1174510200
MS. LACEY MONTGOMERY PA-C 1639166796
MR. BARRY S SABRANSKY PA-C 1598752578
GINA J UGO-NEFF PA-C 1174511851
MR. MICHAEL CRISTOFANO PA-C 1407826472
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.