Most Relevant Information
Provider Data
| NPI Number: | 1003476268 |
| Provider Name: | CHINTAN SHAH DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 58.031169 |
Most Important Dates
| Enumeration Date: | 06/19/2019 |
| Last Updated: | 02/23/2024 |
Provider Practice Location
20201 CRAWFORD AVE
OLYMPIA FIELDS
IL
604611010
Practice Location Phone/Fax
| Phone: | 7087474000 |
| Fax: |
Provider Mailing Location
8558 BROADWAY
MERRILLVILLE
IN
464107032
Provider Mailing Phone/Fax
| Phone: | 2193927084 |
| Fax: | 2197036854 |
Suggested EMR
Internist EMR