Provider Demographics
NPI:1841391182
Name:SHAH, CHIRAG H (DC)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:H
Last Name:SHAH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD
Mailing Address - Street 2:DOB 1 SUITE 510
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60194-1019
Mailing Address - Country:US
Mailing Address - Phone:847-490-8780
Mailing Address - Fax:847-490-8869
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:DOB 1 SUITE 510
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60194-1019
Practice Address - Country:US
Practice Address - Phone:847-490-8780
Practice Address - Fax:847-490-8869
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK17565Medicare UPIN
IL211465Medicare ID - Type Unspecified