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

Nishant Shah, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1043254980

Nishant Shah, MD is a Neurology in Park Ridge, Illinois. Qualified in 1990, 36 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
36
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 723-5962
Fax: (847) 723-2325
Show map & directions

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

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 036-095353 (IL)

Record details

NPI number1043254980
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address3217 Brandess Dr, Glenview, IL 60026-1177

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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