Individual
DR. RACHNA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 W NORTH AVE, SUITE 310, MELROSE PARK, IL 60160-1634
(708) 450-5054
Mailing address
675 W NORTH AVE, #310, MELROSE PARK, IL 60160-1634
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036-122199
IL
207R00000X
Internal Medicine Physician
125-051094
IL
Other
Enumeration date
11/14/2007
Last updated
01/20/2012
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