Organization
HEALTHPRO HERITAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHA P SHAH OTR/L (OCCUPATIONAL THERAPIST)
(773) 398-1756
Entity
Organization
Contact information
Practice address
634 ACADEMY DR, NORTHBROOK, IL 60062-2421
(847) 637-5151
Mailing address
6618 N SEELEY AVE, CHICAGO, IL 60645-5104
(773) 398-1756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012503
IL
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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