Organization
ASHWIN M SHAH, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J CANNY (BUSINESS MANAGER)
(630) 960-9222
Entity
Organization
Contact information
Practice address
2740 W FOSTER AVE, CHICAGO, IL 60625-3500
(773) 293-4004
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
07/19/2005
Last updated
07/21/2022
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