MEDICARE: SAMEER P SHAH LLC

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	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1871042986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMEER P SHAH LLC

Provider Business Mailing Address
First Line	:	PO BOX 631
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-0631
Country	:	US
Telephone Number	:	224-231-4363
Fax Number	:	866-642-1525

Provider Business Practice Location Address
First Line	:	5215 N CALIFORNIA AVE STE 600
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-8564
Country	:	US
Telephone Number	:	773-989-6222
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	JEN WEBER
Credential	:
Telephone Number	:	224-231-4363

Provider Enumeration Date	:	09/30/2016
Last Update Date	:	09/30/2016

Similar Medicare Providers

1811988041 — GREGORY TERRY AMARANTOS DPM
Practice Location Address:

5215 N CALIFORNIA AVE STE F605
CHICAGO, IL
60625-8564

Practice Phone: 847-390-7666
Practice Fax: 847-390-9345

1770636979 — DR. JACQUELINE SOUZA MD
Practice Location Address:

5215 N CALIFORNIA AVE STE 601
CHICAGO, IL
60625-8564

Practice Phone: 773-878-3627
Practice Fax: 773-989-1669

1093932436 — JUNE ELIZABETH OLIVER RN,APN,CNS
Practice Location Address:

5215 N CALIFORNIA AVE STE 600
CHICAGO, IL
60625-8564

Practice Phone: 773-989-6222
Practice Fax: 773-989-1734

1043491426 — DR. DAVID EUGENE STIASNY M.D.
Practice Location Address:

5215 N CALIFORNIA AVE STE 601
CHICAGO, IL
60625-8564

Practice Phone: 773-878-3627
Practice Fax: 773-989-1669

1285890236 — DR. PARAV PATEL MD
Practice Location Address:

5215 N CALIFORNIA AVE STE 601
CHICAGO, IL
60625-8564

Practice Phone: 773-878-3627
Practice Fax: 773-989-1669

1588169718 — CHANG HYUN LIM DO
Practice Location Address:

5215 N CALIFORNIA AVE STE F603
CHICAGO, IL
60625-8564

Practice Phone: 773-878-3627
Practice Fax: 773-878-0985

Directions to “SAMEER P SHAH LLC ” 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 © 2007-2026 (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.