Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

K S Shah MD SC

Organization Obstetrics & Gynecology Physician · NPI 1487920252

K S Shah MD SC is an Obstetrics & Gynecology Physician in Hazel Crest, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

17680 Kedzie Ave Ste 201
Hazel Crest, IL 60429-2043
Phone: (708) 799-5420
Fax: (708) 799-4093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 36-048096 (IL)

Record details

NPI number1487920252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Peterson — Office Manager · (708) 799-5420
NPI enumeratedMarch 27, 2012
Last updated in NPPESMarch 27, 2012
Mailing address17680 Kedzie Ave, Ste 201, Hazel Crest, IL 60429-2043

Other providers in Hazel Crest