Individual ProviderPrachi ShahFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address908 N Elm St Ste 202, Hinsdale, IL 60521-3637(630) 323-1558PECOS EnrollmentBased on the most recent information from CMS, provider Prachi Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1477044204Provider TypeIndividualFull NameShah, PrachiTitleDr.CredentialDOGenderFemaleSole ProprietorNoEnumeration Date5/29/2018Last Updated11/7/2023Contact InformationPractice LocationPractice Address908 N Elm St Ste 202, Hinsdale, IL 60521-3637Phone(630) 323-1558FaxUnlisted FaxMailing LocationMailing Address908 N Elm St Ste 202, Hinsdale, IL 60521-3637Phone(630) 323-1558FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036154401Illinois