Individual
NISHANT A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S. DAMEN AVENUE, ANESTHESIOLOGY SERVICE ROOM 2672, CHICAGO, IL 60612
(312) 569-6750
Mailing address
820 S. DAMEN AVENUE, ANESTHESIOLOGY SERVICE ROOM 2672, CHICAGO, IL 60612
(312) 569-6750
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.131644
IL
207L00000X
Anesthesiology Physician
Primary
036131644
IL
Other
Enumeration date
06/04/2007
Last updated
07/13/2023
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