Individual
DR. MOUSAMI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(773) 881-5674
Mailing address
12 CHATHAM LN, OAK BROOK, IL 60523-2349
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036110949
IL
Other
Enumeration date
07/06/2006
Last updated
12/15/2021
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