| Smita J Shah, MD | |
|
6905 Cermak Rd Ste A Berwyn IL 60402-2175 | |
| (708) 749-0091 | |
| Not Available |
| Full Name | Smita J Shah, MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 6905 Cermak Rd Ste A, Berwyn, Illinois |
| Authorized Official Name and Position | Diana Polyakov (BILLING MANAGER) |
| Authorized Official Contact | 8478975995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smita J Shah, MD Po Box 5979 Buffalo Grove IL 60089-5979 Ph: (847) 897-5995 | Smita J Shah, MD 6905 Cermak Rd Ste A Berwyn IL 60402-2175 Ph: (708) 749-0091 |
| NPI Number | 1740499573 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740499573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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