IndividualActive
Shahbaz Nisar, MD
NPI 1659647717 · Geriatric Medicine (Family Medicine) Physician · Burr Ridge, IL
Provider details
- NPI number
- 1659647717
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01084868A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6101 S County Line Rd
Burr Ridge, IL 60527-8132
Phone: (630) 686-9000
Fax: (844) 235-2578
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 713260
Chicago, IL 60677-1260
Additional practice locations (2)
- 10215 Broadway Fl 1Crown Point, IN 46307-8001Phone: (219) 661-6098Fax: (219) 703-6812
- 4940 W Clark RdSuite 100Ypsilanti, MI 48197-0860Phone: (734) 971-1188Fax: (734) 971-3658
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.