IndividualActive
Jai Shah, M.D., M.B.A., M.P.H.
NPI 1740439009 · Vascular & Interventional Radiology Physician · Libertyville, IL
Provider details
- NPI number
- 1740439009
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.B.A., M.P.H.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036.121053 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
801 S Milwaukee Ave
Advocate Condell Medical Center - Radiology Department
Libertyville, IL 60048-3204
Phone: (847) 990-5380
Fax: (847) 749-0696
Approximate (ZIP-level) locationGet directions
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Registry dates
- Enumerated
- 2008-09-11
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.