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Contact Information

BHAVIN C SHAH, MD
301 N MADISON ST.
SUITE 302
JOLIET, IL60435
 Phone: 815-582-3177
 Fax: 815-582-3754
 Website: https://www.cancersurgery.net
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BHAVIN C SHAH · (Male)

NPI Number 1306078910
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2009
Last updated 06/26/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.138823
  • IL Medicaid 036138823
  • IL Other F400259208 MEDICARE PTAN
Hospital affiliation(s)
  • PALOS COMMUNITY HOSPITAL - (Acute Care)
    12251 SOUTH 80TH AVENUE
    PALOS HEIGHTS, IL 60463
  • PROVENA ST JOSEPH MEDICAL CENTER - (Acute Care)
    333 N MADISON
    JOLIET, IL 60435
  • SILVER CROSS HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    1900 SILVER CROSS BLVD
    NEW LENOX, IL 60451
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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