Individual
MS. SHIVANI DUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST STE 885, CHICAGO, IL 60612-3841
(312) 942-2384
Mailing address
1725 W HARRISON ST STE 885, CHICAGO, IL 60612-3841
(312) 942-2384
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036153627
IL
208100000X
Physical Medicine & Rehabilitation Physician
MD453190
PA
Other
Enumeration date
07/27/2011
Last updated
05/24/2022
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