| A. N. Shah MD SC | |
|
2315 E 93rd St Ste 340 Chicago IL 60617-3948 | |
| (773) 468-9000 | |
| (847) 587-6113 |
| Full Name | A. N. Shah MD SC |
|---|---|
| Speciality | Family Medicine |
| Location | 2315 E 93rd St Ste 340, Chicago, Illinois |
| Authorized Official Name and Position | Ashvin N Shah (OWNER) |
| Authorized Official Contact | 7734689000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. N. Shah MD SC 3040 Scott Cres Flossmoor IL 60422-1728 Ph: (773) 468-9000 | A. N. Shah MD SC 2315 E 93rd St Ste 340 Chicago IL 60617-3948 Ph: (773) 468-9000 |
| NPI Number | 1811905185 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811905185 | NPI | - | NPPES |
| 036058180 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036058180 (Illinois) | Primary |
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