Individual ProviderParul A ShahPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6759 Dempster St, Morton Grove, IL 60053-2607(847) 470-9995(630) 575-6200PECOS EnrollmentBased on the most recent information from CMS, provider Parul A Shah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1649481557Provider TypeIndividualFull NameShah, Parul ACredentialPTGenderFemaleSole ProprietorNoEnumeration Date5/24/2007Last Updated8/17/2017Contact InformationPractice LocationPractice Address6759 Dempster St, Morton Grove, IL 60053-2607Phone(847) 470-9995Fax(847) 470-9996Mailing LocationMailing Address625 Enterprise Drive, Oak Brook, IL 60523Phone(630) 575-6200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070012933IllinoisProvider IdentifiersIDDescriptionIssuerID1619908DescriptionOtherIssuerBCBS IL GROUPIllinoisID568150DescriptionOtherIssuerMEDICARE GROUP NUMBERIllinois