DR. Jalaal Shah, D.O.

NPI #1619240595 in Bradley, Illinois

Provider Information

NPI Number: 1619240595
Entity Type: Individual
Name: DR. Jalaal Shah, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: D.O.
Enumeration Date: Feb 22, 2012
Last Updated: Nov 11, 2020

Practice Location

Address: 400 S KENNEDY DR STE 100
City: Bradley
State: Illinois
ZIP Code: 60915-2685
Phone: (815) 928-8050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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