Individual
AYESHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 CASTILIAN CT APT 216, GLENVIEW, IL 60025-2459
(941) 666-3774
Mailing address
1112 CASTILIAN CT APT 216, GLENVIEW, IL 60025-2459
(941) 666-3774
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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