Dr. Shachi Pandya
General Practice Physician Family Doctor - Sports Medicine
18350 Kedzie Ave Ste 101
Homewood
, Illinois 60430
Dr. Shachi Pandya
General Practice Physician Family Doctor - Sports Medicine
18350 Kedzie Ave Ste 101
Homewood
, Illinois 60430
(708) 365-1055
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About
Features
Specialties
- Family Doctor - Sports Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Shachi Pandya
- 18350 Kedzie Ave Ste 101
- Homewood, IL
- Zip : 60430-2758
- Phone : (708) 365-1055
Second Address
- Dr. Shachi Pandya
- 18350 Kedzie Ave Ste 101
- Homewood, IL
- Zip : 60430
- Fax : (708) 799-1258
- Phone : (708) 365-1055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036148900 | IL |
| N | 208D00000X | General Practice Physician | 036148900 | IL |
National Provider Identifier
| NPI | 1164817334 |
|---|---|
| Provider Name | Dr. Shachi Pandya |
| First Address | Homewood, IL 60430-2758 |
| Second Address | Homewood, IL 60430 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2015 |
| Last Update Date | 15/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.