OrganizationActive
K S Shah MD Sc
NPI 1487920252 · Obstetrics & Gynecology Physician · Hazel Crest, IL
Provider details
- NPI number
- 1487920252
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Peterson, Office Manager(708) 799-5420
- License
- 36-048096 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17680 Kedzie Ave
Ste 201
Hazel Crest, IL 60429-2043
Phone: (708) 799-5420
Fax: (708) 799-4093
Street-level locationGet directions
Mailing address
17680 Kedzie Ave
Hazel Crest, IL 60429-2043
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.