YATIN M SHAH MD SC


Address: 2025 S Chicago Street, Joliet, IL 60436
Phone: 8157262200

YATIN M SHAH MD SC (NPI# 1053410407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053410407
Entity Type Organization
Organization Name YATIN M SHAH MD SC
Other Organization Name PRIMARY CARE JOLIET
Practice Address 2025 S Chicago Street
Joliet
IL 60436
Practice Telephone 8157262200
Practice Fax Number 8157271442
Mailing Telephone 8157262200
Mailing Fax Number 8157271442
Enumeration Date 2006-09-22
Last Update Date 2020-08-22
Authorized Official Name YATIN M SHAH (OWNER)
Authorized Official Telephone 8157262200
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics IL Other Service Providers

Other Provider/Organization Names

Other Name Type Code
primary care joliet Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497851703 Yatin M Shah Md Sc Specialist 2025 S Chicago St, Joliet, IL 60436-3172 2006-09-15

Office Location

Street Address 2025 S CHICAGO STREET
City JOLIET
State IL
Zip Code 60436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386009686 Ausra Simmert Nurse Practitioner 2025 S Chicago Street, Suite 1, Joliet, IL 60435 2015-12-31
1629387808 Anjali Padhye Specialist 2025 S Chicago Street, Joliet, IL 60436-3168 2010-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013431345 Tiffanie Mcnair Nurse's Aide 306 Romayne Ave, Joliet, IL 60436 2017-07-28
1366964215 Pamela Coney Licensed Practical Nurse 916 Prairie Path Ln, Joliet, IL 60436 2017-07-12
1104375815 Cynthia Sylvia Licensed Practical Nurse 211 S. Hunter Ave, Joliet, IL 60436 2016-09-23
1760804629 Center for Disability Services Day Training, Developmentally Disabled Services 311 S Reed St, Joliet, IL 60436 2014-01-13
1215247093 Sadra Rae West Developmental Therapist 807 Thorn Creek Drive, Joliet, IL 60436 2010-10-14
1033360136 Tonya Hagenbaumer Dietitian, Registered 2025 S. Chicago Street, Joliet, IL 60436 2008-10-07
1699966051 Kul Sood General Practice 95 S Chicago St, Joliet, IL 60436 2007-08-09
1821103755 Victoria L Mancke Nurse Practitioner 2025s Chicago St, Joliet, IL 60436 2006-08-20
1790750412 Maria L Ramirez Occupational Therapist 709 Margaret St, Rockdale, IL 60436 2006-02-17
1780872788 Kimberly Ann Mulligan Physician Assistant 2025 S Chicago St, Joliet, IL 60436 2007-10-04
Find all providers in zip 60436

Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962778092 Oscar S. Giron, M.d., S.c. Medical Genetics, Ph.D. Medical Genetics 1828 E Belvidere Rd, Grayslake, IL 60030-2289 2012-03-22
1770023202 Amanda Lea Fortier Medical Genetics, Ph.D. Medical Genetics 5400 Pearl St, Rosemont, IL 60018-5305 2017-03-02
1003245085 Img Md, LLC Medical Genetics, Ph.D. Medical Genetics 680 N Lake Shore Dr, Chicago, IL 60611-4546 2013-11-11
1548532526 Nihon Medical Clinic, S.c. Medical Genetics, Ph.D. Medical Genetics 2010 S Arlington Heights Rd, Suite 101, Arlington Heights, IL 60005-4134 2012-02-06
1992881825 Ann Megna Medical Genetics, Ph.D. Medical Genetics 1025 Ogden Ave, Suite 200, Lisle, IL 60532-4388 2006-10-31
1497773006 Lincona Medical Asso.ltd. Medical Genetics, Ph.D. Medical Genetics 5131 N Lincoln Ave, Chicago, IL 60625-2585 2006-07-18
1831124759 Lincona Medical Asso.ltd. Medical Genetics, Ph.D. Medical Genetics 5131 N Lincoln Ave, Chicago, IL 60625-2585 2006-07-11
1083659171 Jatoi Clinic, Ltd. Medical Genetics, Ph.D. Medical Genetics 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3809 2006-06-20
1386687556 Tapas Dasgupta Medical Genetics, Ph.D. Medical Genetics 7845 S Cottage Grove Ave, Suite 109, Chicago, IL 60619-3100 2006-06-14

Competitor

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City JOLIET
Zip Code 60436

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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