person
Prabodh C Shah, MD
Hematology & Oncology Physician in Evergreen Park, Illinois
NPI 1316935240

Prabodh C Shah is a Hematology & Oncology Physician based in Evergreen Park, IL and is specialized in Hematology & Oncology. Prabodh C Shah practices in Evergreen Park, IL and has the professional credentials of MD. The NPI Number for Prabodh C Shah is 1316935240 and holds a License No. 036042091 (Illinois).

The current practice location address for Prabodh C Shah is 2800 W 95Th St, Evergreen Park, IL and can be reached out via phone at 708-229-6020 and via fax at 708-229-6083. You can also correspond with Prabodh C Shah through the mailing address at 2800 W 95TH ST, EVERGREEN PARK, IL - 60805-2701 (mailing address contact number: 708-229-6020).

Location: 2800 W 95Th St, Evergreen Park, IL, 60805-2701
person
Provider Profile Details
NPI Number
1316935240
Provider Name
Prabodh C Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2800 W 95Th St, Evergreen Park, IL, 60805-2701
Phone Number
708-229-6020
Fax Number
708-229-6083
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036042091 01 IL LICENSE
036042091 05 IL
M050376 01 CA GROUP
00A257470 05 CA
institution
Provider Business Practice Location Address Details
Address
2800 W 95Th St
City
State
Zip
60805-2701
Phone Number
708-229-6020
Fax Number
708-229-6083
person
Provider Business Mailing Address Details
Address
2800 W 95Th St
City
State
Zip
60805-2701
Phone Number
708-229-6020
Fax Number
708-229-6083
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
036042091 (Illinois)
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.
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