Individual
FALGUNI A SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LCPC
Contact information
Practice address
4753 N BROADWAY ST STE 700, CHICAGO, IL 60640-4995
(773) 293-8461
(773) 728-4751
Mailing address
4753 N BROADWAY ST STE 700, CHICAGO, IL 60640-4995
(773) 293-8461
(773) 728-4751
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.006396
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180006396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548382690
—
IL
Enumeration date
07/10/2008
Last updated
03/17/2018
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