# BRIAN SHAH, DDS, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chicago Surgical Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386070167
- **Authorized official:** DR. BRIAN SHAH M.D., D.D.S. (PRESIDENT)
- **Authorized official phone:** (312) 659-6163

## Contact information

- **Practice address:** 1009 W WEBSTER AVE, CHICAGO, IL 60614-3502
- **Practice address phone:** (872) 829-3280
- **Practice address fax:** (872) 829-3281
- **Mailing address:** 1009 W WEBSTER AVE, CHICAGO, IL 60614-3502
- **Mailing address phone:** (872) 829-3280
- **Mailing address fax:** (872) 829-3281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019028191 | IL | Yes |

## Other

- **Enumeration date:** 09/24/2013
- **Last updated:** 09/24/2013