Sunil K. Shah D.o, S.c - Medicare Primary Care in Oak Lawn, IL

Sunil K. Shah D.o, S.c is a medicare enrolled primary clinic (Internal Medicine) in Oak Lawn, Illinois. The current practice location for Sunil K. Shah D.o, S.c is 4647 W 103rd St Ste 1i, Oak Lawn, Illinois. For appointments, you can reach them via phone at (708) 423-7424. The mailing address for Sunil K. Shah D.o, S.c is 7641 Newfield Ln, Tinley Park, Illinois and phone number is () -.

Sunil K. Shah D.o, S.c is licensed to practice in Illinois (license number 036105759). The clinic also participates in the medicare program and its NPI number is 1184633356. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (708) 423-7424.

Contact Information

Sunil K. Shah D.o, S.c
4647 W 103rd St Ste 1i
Oak Lawn
IL 60453-4792
(708) 423-7424
Not Available

Primary Care Clinic Profile

Full NameSunil K. Shah D.o, S.c
SpecialityInternal Medicine
Location4647 W 103rd St Ste 1i, Oak Lawn, Illinois
Authorized Official Name and PositionSunil K Shah (PRESIDENT)
Authorized Official Contact8154647436
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sunil K. Shah D.o, S.c
7641 Newfield Ln
Tinley Park
IL 60477-5539

Ph: () -
Sunil K. Shah D.o, S.c
4647 W 103rd St Ste 1i
Oak Lawn
IL 60453-4792

Ph: (708) 423-7424

NPI Details:

NPI Number1184633356
Provider Enumeration Date08/05/2006
Last Update Date02/12/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2163475484
Medicare Enrollment IDO20050228000307

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Medical Identifiers

Medical identifiers for Sunil K. Shah D.o, S.c such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184633356NPI-NPPES
036105759MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036105759 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sunil K. Shah D.o, S.c acts as a billing entity for following providers:
Provider NameSunil K Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275517211
PECOS PAC ID: 6103816244
Enrollment ID: I20040512001234

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Provider NameMary E Gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699714907
PECOS PAC ID: 5799746327
Enrollment ID: I20041026000719

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Internal Medicine in Oak Lawn, IL

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