Individual
NUPUR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 660-5997
Mailing address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 660-5997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-155834
IL
Other
Enumeration date
04/04/2018
Last updated
09/07/2021
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