Individual
SHAILESH AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE RM J641, CHICAGO, IL 60637
(800) 824-0200
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-4503
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
281127
MA
Other
Enumeration date
05/21/2010
Last updated
02/06/2025
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