Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LISA SHAH
NPI 1295654358
Nurse Practitioner - Family in Libertyville, IL

Q: What is Lisa Shah's NPI number?

The NPI number for Lisa Shah is 1295654358. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Lisa Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Shah was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2026

1900 HOLLISTER DR STE 250, LIBERTYVILLE, IL 60048(847) 573-9663 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Shah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SHAH (NPI 1295654358) is an individual family provider in Libertyville, Illinois, licensed in Illinois (209.036091) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1295654358

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA SHAH

Location Address1900 HOLLISTER DR STE 250Libertyville, IL 60048-5249

Mailing Address1900 Hollister Dr Ste 250Libertyville, IL 60048-5249 · (847) 573-9663

Phone(847) 573-9663

Sole ProprietorNo

Enumeration DateJuly 13, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1295654358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.036091

1900 HOLLISTER DR STE 250, Libertyville, IL 60048

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN HOWARD FNP-C

Nurse Practitioner (Family)

1900 HOLLISTER DR STE 250
LIBERTYVILLE, IL 60048

Lake County (847) 573-9663

LUNISA RAMIREZ NP

Nurse Practitioner (Family)

1900 HOLLISTER DR STE 250
LIBERTYVILLE, IL 60048

Lake County (847) 573-9663

PAULINA KLUCHKA

Nurse Practitioner (Primary Care)

1900 HOLLISTER DR STE 250
LIBERTYVILLE, IL 60048

Lake County (847) 573-9663

NORTH SHORE PRIMARY CARE S.C.

Internal Medicine

1900 HOLLISTER DR STE 250
LIBERTYVILLE, IL 60048

Lake County (847) 573-9663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Shah's NPI number?

The NPI number for Lisa Shah is 1295654358. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Lisa Shah located?

Lisa Shah practices at 1900 Hollister Dr Ste 250, Libertyville, IL 60048. The listed phone number is (847) 573-9663.

What is Lisa Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Shah was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.