Smita J Shah (NPI# 1063587640, PAC ID# 3375737372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1063587640 |
| PAC ID by PECOS | 3375737372 |
| Professional Enrollment ID | I20101103001285 |
| Full Name | Smita J Shah |
| Address |
6905 Cermak Rd A Berwyn IL 60402-2175 |
| Phone Number | 7087490091 |
| Gender | F |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140063 | RUSH OAK PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6905 Cermak Rd A, Berwyn, IL 60402-2175 | 7087490091 |
| Street Address |
6905 CERMAK RD A |
| City | BERWYN |
| State | IL |
| Zip | 60402-2175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Dowell | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine Herold | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Christine Elaine Schultheiss | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Erika Montoya | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine M Wehrmann | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Rebecca C Dehoek | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Moshini Sivasubramaniam | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Brian Kroener | Family Practice | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Ellen B Barton | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Charles T Yingling | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Find all physicians in zip 60402 | |||
| City | BERWYN |
| Zip Code | 60402 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BERWYN + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Smita J Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.