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

Dr. Jay Shah, DO

Individual provider Family Medicine Physician · NPI 1770111676

Dr. Jay Shah, DO is a Family Practice in Oak Lawn, Illinois. Graduated from Nova Southeastern College of Osteo Medicine in 2020, 6 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9555 S 52nd Ave
Oak Lawn, IL 60453-3054
Phone: (708) 422-5700
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125076251 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.166794 (IL)

Record details

NPI number1770111676
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2020 (6 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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