MEDICARE: SHAH NAWAZ, MD INC

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	2084P0800X	Psychiatry Physician		IL

General Provider Information

NPI Number	:	1730297995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAH NAWAZ, MD INC

Provider Business Mailing Address
First Line	:	3800 N WILKE RD
Second Line	:	SUITE # 160
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1278
Country	:	US
Telephone Number	:	847-686-2222
Fax Number	:	847-342-0378

Provider Business Practice Location Address
First Line	:	3800 N WILKE RD
Second Line	:	SUITE 160
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1278
Country	:	US
Telephone Number	:	847-686-2222
Fax Number	:	847-342-0378

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHAH NAWAZ
Credential	:	M.D.
Telephone Number	:	847-686-2222

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	08/22/2020

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