| Jai Devendra Shah, MD, MBA, MPH | |
|
801 S Milwaukee Ave, Advocate Condell Medical Center - Radiology Department, Libertyville, IL 60048-3204 | |
| (847) 990-5380 | |
| (847) 749-0696 |
| Full Name | Jai Devendra Shah |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 801 S Milwaukee Ave, Libertyville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740439009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 036.121053 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Imaging Consultants Llc | 2567784408 | 174 |
| Entity Name | Integrated Imaging Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Jai Devendra Shah, MD, MBA, MPH 801 S Milwaukee Ave, Libertyville, IL 60048-3204 Ph: (847) 362-2900 | Jai Devendra Shah, MD, MBA, MPH 801 S Milwaukee Ave, Advocate Condell Medical Center - Radiology Department, Libertyville, IL 60048-3204 Ph: (847) 990-5380 |
Dr. Dean Joseph Conterato, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-990-5910 Fax: 847-573-4250 | |
Dr. Jeffrey Lee Rosengarten, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Hollister Dr, Suite G-18, Libertyville, IL 60048 Phone: 847-918-1462 Fax: 847-968-4311 | |
James M Papesch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Condell Medical Center Radiology Department, Libertyville, IL 60048 Phone: 847-362-2900 Fax: 847-990-5380 | |
Beth Anne Sylvester, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 Hollister Dr, Suite G-18, Libertyville, IL 60048 Phone: 847-918-1462 Fax: 847-968-4311 | |
Dr. Phyllis H Han, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Rd, Libertyville, IL 60048 Phone: 847-362-2900 | |
Louis J Manquen Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Road, Libertyville, IL 60048 Phone: 847-990-5389 | |
Steven Reich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-990-2839 |