SearchIllinoisFamily Medicine Physician

Manish Shukla, MD

NPI 1619983558 · on the registry since 2006

Practice

Address
3943 W 31st St
St Jude Medical Center
Chicago, IL 60623
Phone
(773) 523-8773
Fax
(773) 523-9259
Organisation at this address
St Jude Medical Clinic Sc
Mount Sinai Community Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-31

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