Individual
ANITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2591 COMPASS RD, STE 100, GLENVIEW, IL 60026-8043
(847) 729-6220
Mailing address
2591 COMPASS RD, STE 100, GLENVIEW, IL 60026-8043
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070-021714
IL
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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