Nishant Shah
Child Neurologist
1675 Dempster St
Park Ridge
, Illinois 60068-1110
Nishant Shah
Child Neurologist
1675 Dempster St
Park Ridge
, Illinois 60068-1110
(847) 723-2325
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Nishant Shah
- 3217 Brandess Dr
- Glenview, IL
- Zip : 60026-1177
- Fax : (847) 723-2325
- Phone : (847) 723-5962
Second Address
- Nishant Shah
- 1675 Dempster St
- Park Ridge, IL
- Zip : 60068-1110
- Fax : (847) 723-2325
- Phone : (847) 723-5962
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 036-095353 | IL |
National Provider Identifier
| NPI | 1043254980 |
|---|---|
| Provider Name | Nishant Shah |
| First Address | Glenview, IL 60026-1177 |
| Second Address | Park Ridge, IL 60068-1110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2006 |
| Last Update Date | 17/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G49097 | (02) | IL |
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.