Healthcare Provider Details

I. General information

NPI: 1346160488
Provider Name (Legal Business Name): STELLAR PROFESSIONAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 N WESTERN AVE
CHICAGO IL
60645-1812
US

IV. Provider business mailing address

7200 N WESTERN AVE
CHICAGO IL
60645-1812
US

V. Phone/Fax

Practice location:
  • Phone: 866-320-8183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMEER SHAH
Title or Position: PARTNER
Credential: MD
Phone: 773-960-0726