| Dr Sweta K Shah, MD | |
| 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 766-7334 | |
| Not Available | 
| Full Name | Dr Sweta K Shah | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 1 Kish Hospital Dr, Dekalb, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427312727 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301100840 (Michigan) | Secondary | 
| 207P00000X | Emergency Medicine | 036141923 (Illinois) | Primary | 
| Entity Name | Northwestern Medical Faculty Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 | 
| Entity Name | Aurora Emergency Physicians Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407379423 PECOS PAC ID: 1850657180 Enrollment ID: O20171102000998 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Sweta K Shah, MD Po Box 9367, Daytona Beach, FL 32120-9367 Ph: (512) 547-7912 | Dr Sweta K Shah, MD 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 766-7334 | 
| Nina L Taylor, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 W Lincoln Hwy, Northern Illinois University / Health Services, Dekalb, IL 60115 Phone: 815-753-1311 | |
| Jeanne M Johnston, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 626 Bethany Rd, Dekalb, IL 60115 Phone: 815-756-1521 | |
| Dr. David Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 | |
| Michael Devisser, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 | |
| Dr. Talha Ahmed, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 | |
| Michael S Hohlastos, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 Fax: 815-748-2978 | |
| Michael Hagstrom, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 |