AKTA DINESH SHAH MSPT NPI 1154341436

NPI Information

NPI: 1154341436
Provider Name: AKTA DINESH SHAH, MSPT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3703 W LAKE AVE
SUITE #200
GLENVIEW, IL
ZIP 60026
Phone: (847) 998-1188
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Akta Dinesh Shah, MSPT is a specialist in Glenview, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Akta Dinesh Shah, MSPT NPI is 1154341436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3703 W LAKE AVE
SUITE #200
GLENVIEW, IL
ZIP 60026-223
Phone: (847) 998-1188

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		070-012688	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K34778	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	BCI MEDIC. NO.
2	01634372	OTHER	ILLINOIS	BCBS GROUP NO.
3	K08845	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	208324004	MEDICARE PIN	ILLINOIS
5	363396874	OTHER	ILLINOIS	GROUP TAX ID
6	209881	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE GROUP NO.
7	200573902	OTHER	ILLINOIS	GROUP TAX ID
8	236963283001	MEDICAID	ILLINOIS
9	1618443	OTHER	ILLINOIS	BCBS GROUP NO.
10	210877	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE GROUP NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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