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

Kunjal Shah

Individual provider Family Nurse Practitioner · NPI 1710439526

Kunjal Shah is a Nurse Practitioner in LA Grange Highlands, Illinois. Qualified in 2016, 10 years ago. Practices with University of Chicago, a 1,681-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016

Practice location Address checks out

5801 Blackstone Ave
LA Grange Highlands, IL 60525-7108
Phone: (708) 482-0904
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209-015057 (IL)

Record details

NPI number1710439526
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address5801 Blackstone Ave, La Grange Highlands, IL 60525-7108

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in LA Grange Highlands