MEDICARE: SHAHID B. ILAHI 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	207R00000X	Internal Medicine Physician	036081783	IL
2	207RG0100X	Gastroenterology Physician	0036081783	IL

General Provider Information

NPI Number	:	1508867078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHID B. ILAHI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 19639
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9639
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	22N285 PEPPER RD
Second Line	:	SUITE 303
City	:	LAKE BARRINGTON
State	:	IL
Zip	:	60010-5982
Country	:	US
Telephone Number	:	630-952-1412
Fax Number	:

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	12/16/2025

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