Individual
MR. SHAMIK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACPNP/APN
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 975-8839
Mailing address
630 N STATE ST, UNIT 1010, CHICAGO, IL 60610-7574
(312) 596-4004
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
—
IL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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