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PRABODH C SHAH M.D.
NPI 1316935240
Internal Medicine - Hematology & Oncology in Evergreen Park, IL

Active since October 13, 2005
2800 W 95TH ST, CANCER CENTER, EVERGREEN PARK, IL 60805(708) 229-6020(708) 229-6083 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prabodh C Shah M.d. NPPES

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

PRABODH C SHAH M.D. (NPI 1316935240) is an individual hematology & oncology provider in Evergreen Park, Illinois, licensed in Illinois (036042091) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1316935240
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePRABODH C SHAHCredential: M.D.
Location Address2800 W 95TH ST, CANCER CENTEREvergreen Park, IL 60805-2701
Mailing Address2800 W 95th St, Cancer CenterEvergreen Park, IL 60805-2701 · (708) 229-6020 · Fax (708) 229-6083
Phone(708) 229-6020
Fax(708) 229-6083
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateJune 23, 2014
✔ NPI 1316935240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in IL · 036042091✔ Licensed in CA · A25747
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2800 W 95TH ST, Evergreen Park, IL 60805
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Other Identifiers 7

Medicaid036042091IL
Other036042091IL · License
Medicare UPIND12466
Medicaid00A257470CA
Medicare PINBF472ZCA
OtherM050376CA · Group
Medicare PINT01700IL

Other Providers at the Same Location NPPES 20

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

DEBORAH OLUBUKUNOLA OYELOWO
Nurse Practitioner (Family)
2800 W 95TH ST
EVERGREEN PK, IL 60805
Cook County (708) 422-6200
TIMOTHY D PUTNAM M.D.
Physical Medicine & Rehabilitation
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 422-6200
MS. KARYN L. BENAK CRNA
Nurse Anesthetist, Certified Registered
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 422-6200
MR. MERRILL BARNES MD
Pathology (Anatomic Pathology & Clinical Pathology)
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 229-5817
DR. RICHARD D. KERN M.D.
Internal Medicine (Pulmonary Disease)
2800 W 95TH ST, PULMONARY MEDICINE CONSULTANTS, LTD.
EVERGREEN PARK, IL 60805
Cook County (708) 424-9288
JOANNE ZITTER OTR
Occupational Therapist
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 229-5645
MELODIE KESHANI DO
Emergency Medicine
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 422-6200
MRS. STEPHANIE ANN CUNNANE SLP
Speech-Language Pathologist
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 229-5284

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 Prabodh Shah's NPI number?

The NPI number for Prabodh Shah is 1316935240. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Prabodh Shah located?

Prabodh Shah practices at 2800 W 95th St Cancer Center, Evergreen Park, IL 60805. The listed phone number is (708) 229-6020.

What is Prabodh Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Prabodh Shah was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.