Sunil K. Shah D.o, S.c

NPI 1184633356 - Internal Medicine - 207R00000X

NPI Details
NPI 1184633356
Enumeration Date 08/05/2006
Last Updated 04/08/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUNIL K SUNIL
Position PRESIDENT
Phone (815) 464-7436
Fax
Practice Location
4647 W 103RD ST STE 1I
OAK LAWN IL, 60453-4792, US
Phone (815) 464-7436
Fax
Business Location
7641 NEWFIELD LN
TINLEY PARK IL, 60477-5539, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036105759
Remove 1184633356 NPI Number
 

According to our database, Sunil K. Shah D.o, S.c NPI is 1184633356, taxonomy code is 207R00000X and license number is 036105759, license state is located at Illinois. Sunil K. Shah D.o, S.c physically located at 4647 W 103rd St Ste 1i, Oak Lawn IL, 60453-4792. NPI Number 1033115704 has the healthcare provider type.

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1184633356 NPI number is provided on an as is basis without warranty of any kind. 1184633356 is maintained by the National Plan & Provider Enumeration System. The contents of Sunil K. Shah D.o, S.c are for informational purposes only.