| Maulin G Shah, DO | |
|
107 Watters Dr, Dwight, IL 60420 | |
| (815) 584-4334 | |
| (815) 584-4364 |
| Full Name | Maulin G Shah |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 107 Watters Dr, Dwight, 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 |
|---|---|---|---|
| 1902149982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036141076 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Home Health-eastern Region | Normal, IL | Home health agency |
| Saint James Hospital | Pontiac, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Morris Hospital & Healthcare Centers | Morris, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint James Hospital | 0648187252 | 58 |
| Entity Name | Saint James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790735421 PECOS PAC ID: 0648187252 Enrollment ID: O20040804001073 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Maulin G Shah, DO 107 Watters Dr, Dwight, IL 60420-1280 Ph: (815) 584-4334 | Maulin G Shah, DO 107 Watters Dr, Dwight, IL 60420 Ph: (815) 584-4334 |
Dennis Edward Strobel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 134 W Main St, Dwight, IL 60420 Phone: 815-584-3347 | |
Travis Swink, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S John St, Dwight, IL 60420 Phone: 815-584-3343 Fax: 815-584-3647 | |
Suresh Vade, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 134 W Main St, Dwight, IL 60420 Phone: 815-584-3347 | |
Dr. Mark A Passerman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Prairie Ave, Dwight, IL 60420 Phone: 815-584-3291 Fax: 815-584-3475 | |
Dr. Michael Charles Cichon, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 305 Susan Dr, Dwight, IL 60420 Phone: 815-584-3588 |