MEDICARE: DR. RANCHHODLAL S. SHAH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	036048098	IL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036048098	IL

General Provider Information

NPI Number	:	1407830987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANCHHODLAL S. SHAH M.D.

Provider Business Mailing Address
First Line	:	2222 W DIVISION ST
Second Line	:	SUITE 340
City	:	CHICAGO
State	:	IL
Zip	:	60622-2717
Country	:	US
Telephone Number	:	773-252-3113
Fax Number	:	773-252-3171

Provider Business Practice Location Address
First Line	:	2222 W DIVISION ST
Second Line	:	SUITE 340
City	:	CHICAGO
State	:	IL
Zip	:	60622-2717
Country	:	US
Telephone Number	:	773-252-3113
Fax Number	:	773-252-3171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	04/07/2015

Similar Medicare Providers

1720086572 — DR. HOUSHANG FARAHVAR M.D.
Practice Location Address:

2222 W DIVISION ST , SUITE 235
CHICAGO, IL
60622-2717

Practice Phone: 773-486-7200
Practice Fax: 773-486-7667

1790779023 — ADVANCED CANCER CLINIC LTD
Practice Location Address:

2222 W DIVISION ST , #215
CHICAGO, IL
60622-2717

Practice Phone: 773-227-8807
Practice Fax: 773-227-8907

1093704157 — MARCELO N MUNOZ M.D.
Practice Location Address:

2222 W DIVISION ST , SUITE 230
CHICAGO, IL
60622-2717

Practice Phone: 773-342-0993
Practice Fax: 773-342-0996

1043200975 — DR. YUKHOL LERTSBURAPA MD
Practice Location Address:

2222 W DIVISION ST , SUITE 260
CHICAGO, IL
60622-2717

Practice Phone: 773-486-3535
Practice Fax: 630-983-8803

1205801313 — SAMUEL F CASTILLO M.D.
Practice Location Address:

2222 W DIVISION ST , SUITE 235
CHICAGO, IL
60622-2717

Practice Phone: 773-342-6800
Practice Fax: 773-342-6332

1447218615 — METROPOLITAN NEOPEDIATRIX, SC
Practice Location Address:

2222 W DIVISION ST , SUITE 330
CHICAGO, IL
60622-2717

Practice Phone: 773-227-0111
Practice Fax: 773-227-0006

Directions to “ DR. RANCHHODLAL S. SHAH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.