Shital B Shah MD

NPI 1770517070 - Family Medicine - 207Q00000X

NPI Details
NPI 1770517070
Gender Female
Enumeration Date 07/10/2006
Last Updated 04/08/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1515 LAKE ST
ALEXIAN BROTHER ST ALEXIUS MEDICAL CENTER
HANOVER PARK IL, 60133, US
Phone (847) 472-1500
Fax
Business Location
3800 W ESTES AVE
LINCOLNWOOD IL, 60712-1032, US
Phone (773) 383-0006
Fax (847) 983-0686
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036058187
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According to our database, Shital B Shah MD NPI is 1770517070, taxonomy code is 207Q00000X and license number is 036058187, license state is located at Illinois. Shital B Shah MD physically located at 1515 Lake St, Hanover Park IL, 60133. NPI Number Shital B Shah MD has the Individual type.

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1770517070 NPI number is provided on an as is basis without warranty of any kind. 1770517070 is maintained by the National Plan & Provider Enumeration System. The contents of Shital B Shah MD are for informational purposes only.