Healthcare Provider Details

I. General information

NPI: 1891243697
Provider Name (Legal Business Name): MENG SHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5145 N CALIFORNIA AVE IM/ICU HOSPITALISTS-SUITE 331
CHICAGO IL
60625-3661
US

IV. Provider business mailing address

101 MADISON ST STE 3
OAK PARK IL
60302-4210
US

V. Phone/Fax

Practice location:
  • Phone: 847-570-1027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036148952
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036148952
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: