Healthcare Provider Details

I. General information

NPI: 1235386160
Provider Name (Legal Business Name): DIPAL CHOKSHI SHAH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIPAL CHOKSHI DO

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 W RAND RD STE 210
ARLINGTON HEIGHTS IL
60004-2315
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-725-8401
  • Fax: 847-454-2236
Mailing address:
  • Phone: 847-570-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number036123233
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: