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K S SHAH MD SC
NPI 1487920252
Obstetrics & Gynecology in Hazel Crest, IL

Active since March 27, 2012
17680 KEDZIE AVE, STE 201, HAZEL CREST, IL 60429(708) 799-5420(708) 799-4093 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About K S Shah Md Sc NPPES

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

K S SHAH MD SC (NPI 1487920252) is a healthcare organization registered as an obstetrics & gynecology in Hazel Crest, Illinois and active in the NPI registry since March 2012. The organization lists Donna M Peterson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487920252
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameK S SHAH MD SC
Location Address17680 KEDZIE AVE, STE 201Hazel Crest, IL 60429-2043
Mailing Address17680 Kedzie Ave, Ste 201Hazel Crest, IL 60429-2043 · (708) 799-5420 · Fax (708) 799-4093
Phone(708) 799-5420
Fax(708) 799-4093
Organization SubpartNo
Authorized OfficialDonna M PetersonOffice Manager · (708) 799-5420
Enumeration DateMarch 27, 2012
✔ NPI 1487920252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 36-048096
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
17680 KEDZIE AVE, Hazel Crest, IL 60429
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND12565IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

DR. NEELAM MOTILAL BHATIA M.D.
Nuclear Medicine
17680 KEDZIE AVE, SUITE 101
HAZEL CREST, IL 60429
Cook County (708) 574-6814
KRISHNA SUNKARA MD
Internal Medicine (Pulmonary Disease)
17680 KEDZIE AVE, 101
HAZEL CREST, IL 60429
Cook County (708) 799-7990
KRISHNA SUNKARA MD SC
Internal Medicine (Pulmonary Disease)
17680 KEDZIE AVE, SUITE 101
HAZEL CREST, IL 60429
Cook County (708) 799-7990
TAHIR A ABBASI M.D.
Internal Medicine (Cardiovascular Disease)
17680 KEDZIE AVE, SUITE 206
HAZEL CREST, IL 60429
Cook County (708) 206-1090
PRAKASH G SANE MD SC
Internal Medicine
17680 KEDZIE AVE, SUITE 201
HAZEL CREST, IL 60429
Cook County (708) 799-2499
DR. AMARJIT SINGH BHASIN MD
Psychiatry & Neurology (Neurology)
17680 KEDZIE AVE, SUITE 105
HAZEL CREST, IL 60429
Cook County (708) 799-3044
APOTHECO PHARMACY DECATUR LLC
Pharmacy (Community/Retail Pharmacy)
17680 KEDZIE AVE, SUITE 104
HAZEL CREST, IL 60429
Cook County (708) 957-4949
AMARJIT S BHASIN MD LTD
Psychiatry & Neurology (Neurology)
17680 KEDZIE AVE, SUITE 105
HAZEL CREST, IL 60429
Cook County (708) 799-3044

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 K S Shah MD Sc's NPI number?

The NPI number for K S Shah MD Sc is 1487920252. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is K S Shah MD Sc located?

K S Shah MD Sc is located at 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429. The listed phone number is (708) 799-5420.

What is K S Shah MD Sc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for K S Shah MD Sc was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.