Individual
ERUM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9977 WOODS DR, SKOKIE, IL 60077-1057
(216) 368-0575
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010975
IL
Other
Enumeration date
09/25/2019
Last updated
05/07/2025
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