MRS. CHANDRIKA SHAH


Address: 500 E 51st Street, Provident Hospital of Cook County Dept of Gen Surgery, Chicago, IL 60615
Phone: 3125722664

MRS. CHANDRIKA SHAH (NPI# 1114928884) 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) 1114928884
Entity Type Individual
Full Name MRS. CHANDRIKA SHAH
Credential PA
Practice Address 500 E 51st Street
Provident Hospital of Cook County Dept of Gen Surgery
Chicago
IL 60615
Mailing Address 500 E 51st St
Provident Hospital of Cook County, Dept of Surgery
Chicago
IL 60615-2400
Practice Telephone 3125722664
Practice Fax Number 3125722681
Mailing Telephone 3125722664
Mailing Fax Number 3125722681
Enumeration Date 2005-08-03
Last Update Date 2020-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085-001953 IL Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MS0930241 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 500 E 51ST STREET
PROVIDENT HOSPITAL OF COOK COUNTY DEPT OF GEN SURGERY
City CHICAGO
State IL
Zip Code 60615

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NPI Name Taxonomy Address Enumeration
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1275007767 Michelle Alyse Costello Social Worker 1225 E 53rd St, Suite 606, Chicago, IL 60615 2019-01-17
1194207522 Cindy Louise Lys Social Worker 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 2018-09-01
1861983660 Pranusha Pinna Student in an Organized Health Care Education/Training Program 1850 W. Harrison St., Chicago, IL 60615 2018-05-29
1528577632 Jonah Waseberg Counselor 1100 E.55th St, Chicago, IL 60615 2017-09-21
1710404496 Tawann Jackson Psychologist 360 Blair Lane, Door 13, Bolingbrook, IL 60615 2017-08-24
1194259069 Molly Kachale Netter Nurse Practitioner 1554 E 55th St., Chicago, IL 60615 2017-04-17
1205387990 Kirk Remon Riddle Counselor 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 2016-10-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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City CHICAGO
Zip Code 60615

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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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