Individual
PINKESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4516 S DAMEN AVE, CHICAGO, IL 60609-3013
(773) 869-0200
Mailing address
1180 WOODCREEK LN, HOFFMAN ESTATES, IL 60169-5207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031535
IL
Other
Enumeration date
02/11/2017
Last updated
03/21/2018
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