Individual
DR. BHARATI B. SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
496 LEE ST, DES PLAINES, IL 60016-4607
(847) 824-2161
(824) 824-1042
Mailing address
3502 MAPLE LEAF DR, GLENVIEW, IL 60026-1131
(847) 824-2161
(847) 824-1042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-046339-1
ILLINOIS LICENSE
IL
01
—
21604660
BLUE COSS & BLUE SHIELD
IL
Enumeration date
08/23/2006
Last updated
07/08/2007
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