SearchIllinois207R00000X

Khushboo Shah, MD

NPI 1154249720 · on the registry since 2026

Practice

Address
700 E Walnut St
Bloomington, IL 61701
Phone
(872) 248-9618
Organisation at this address
Heritage Enterprises, Inc
Heritage Enterprises, Inc.
Goldwater Care Bloomington Llc
Goldwater Care Bloomington Llc
Heritage Manor Bloomington, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois