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Organization
NORTHWEST SUBURBAN PHYSICIANS LLC
Active
Organization
NORTHWEST SUBURBAN PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHANSHYAM S SHAH M.D. (PRESIDENT)
(847) 255-7107
Entity
Organization
Contact information
Practice address
5999 NEW WILKE RD BLDG 2, SUITE 200, ROLLING MEADOWS, IL 60008-4506
(847) 255-7107
(847) 255-7031
Mailing address
5999 NEW WILKE RD BLDG 2, ROLLING MEADOWS, IL 60008-4506
(847) 255-7107
(847) 255-7031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/12/2009
Last updated
07/21/2015
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