Individual
SHAKUNTALA S TEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N WOLF RD APT 131, NORTHLAKE, IL 60164-1653
(708) 415-8074
Mailing address
420 N WOLF RD APT 131, NORTHLAKE, IL 60164-1653
(708) 415-8074
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
36049650
IL
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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