Individual ProviderSyed ShahInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1700 W Van Buren St, Suite 500, Chicago, IL 60612-3218(312) 563-2875PECOS EnrollmentBased on the most recent information from CMS, provider Syed Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1730291212Provider TypeIndividualFull NameShah, SyedCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/31/2006Last Updated2/12/2008Contact InformationPractice LocationPractice Address1700 W Van Buren St, Suite 500, Chicago, IL 60612-3218Phone(312) 563-2875Fax(312) 942-3012Mailing LocationMailing Address1700 W Van Buren St, Suite 500, Chicago, IL 60612-3218Phone(312) 563-2875Fax(312) 942-3012Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerIllinois