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Organization
S.S. SHROFF, M.D.,S.C.
Active
Organization
S.S. SHROFF, M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S S SHROFF M.D. (PRESIDENT)
(708) 484-1411
Entity
Organization
Contact information
Practice address
7355 NORTH AVE, RIVER FOREST, IL 60305-1230
(708) 484-1411
(708) 484-1468
Mailing address
7713 BAKER CT, DARIEN, IL 60561-4500
(630) 852-4187
(630) 852-0995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201275
BLUE SHIELD
IL
Enumeration date
07/23/2006
Last updated
08/22/2020
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