DR. SHELLY VIJAY (NPI# 1649559212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649559212 |
| Entity Type | Individual |
| Full Name | DR. SHELLY VIJAY |
| Credential | M.D. |
| Practice Address |
2361 Paysphere Circle Chicago IL 60674 |
| Mailing Address |
2520 Elisha Avenue Zion IL 60099 |
| Practice Telephone | 8477464358 |
| Mailing Telephone | 8478726259 |
| Mailing Fax Number | 8478725716 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2015-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036.129049 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | IL | Student, Health Care |
| Street Address |
2361 PAYSPHERE CIRCLE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744106 | Herbert H Beck IIi | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-10-14 |
| 1790006393 | Syed Zahid Aziz Khalid | Emergency Medicine | 2361 Paysphere Circle, Chicago, IL 60674 | 2010-06-17 |
| 1306818109 | Istvan Redei | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-02-06 |
| 1700865656 | Peter T. Senatore | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1588643449 | Pakorn Sirijintakarn | Radiology | 2361 Paysphere Circle, Chicago, IL 60674 | 2006-01-10 |
| 1922085372 | S. Charles Charles Lindsay | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1356328728 | Alfonso V Mellijor | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1245217611 | Rakhshanda Neelam | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1164409447 | Elham Abboud | Pathology | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
| 1518944800 | Dennis L Citrin | Specialist | 2361 Paysphere Circle, Chicago, IL 60674 | 2005-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205107 | Yiping Fu | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2005-09-14 |
| 1114417615 | Nicole Beltran | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2018-05-10 |
| 1598207375 | Shency Varughese | Registered Nurse | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-11-10 |
| 1861850331 | Katrina Sue Barger | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2016-01-29 |
| 1013255975 | Ruth M Diamond | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2013-01-27 |
| 1649590878 | Mehul Arvind Patel | Physician Assistant | 2361 Paysphere Cir, Chicago, IL 60674 | 2010-06-10 |
| 1265668750 | Solomon R Katta | Family Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2009-06-10 |
| 1639314834 | Madhavi Nagilla | Internal Medicine | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-12-03 |
| 1699943720 | Miral Sapan Amin | Surgery | 2361 Paysphere Cir, Chicago, IL 60674 | 2008-02-12 |
| 1699960088 | Sarah Jean Tuohy | Nurse Practitioner | 2361 Paysphere Cir, Chicago, IL 60674 | 2007-09-10 |
| Find all providers in zip 60674 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
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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.