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Organization
SMITA J SHAH, MD
Active
Organization
SMITA J SHAH, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA POLYAKOV (BILLING MANAGER)
(847) 897-5995
Entity
Organization
Contact information
Practice address
6905 CERMAK RD STE A, BERWYN, IL 60402-2175
(708) 749-0091
Mailing address
PO BOX 5979, BUFFALO GROVE, IL 60089-5979
(847) 897-5995
(847) 897-5990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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