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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | IL | Other Service Providers |
Other Name | Type Code |
---|---|
primary care joliet | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497851703 | Yatin M Shah Md Sc | Specialist | 2025 S Chicago St, Joliet, IL 60436-3172 | 2006-09-15 |
Street Address |
2025 S CHICAGO STREET |
City | JOLIET |
State | IL |
Zip Code | 60436 |
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 |
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 Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
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. |
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 |
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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.