| Neilesh Shah, MD | |
|
17850 Kedzie Ave, 3200, Hazel Crest, IL 60429-2058 | |
| (708) 798-8112 | |
| (708) 798-9016 |
| Full Name | Neilesh Shah |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 17850 Kedzie Ave, Hazel Crest, 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 |
|---|---|---|---|
| 1023007143 | NPI | - | NPPES |
| 036113251 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036113251 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palos Community Hospital Home Health Care | Lemont, IL | Home health agency |
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Neilesh Shah, MD 18440 Thompson Ct, 105, Tinley Park, IL 60477-5390 Ph: (708) 532-6029 | Neilesh Shah, MD 17850 Kedzie Ave, 3200, Hazel Crest, IL 60429-2058 Ph: (708) 798-8112 |
Dr. Amin Yassin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 | |
Aaron James Magana, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 Fax: 773-213-0378 |