Individual
SHAH A ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126
(331) 221-8952
(331) 221-3782
Mailing address
172 E SCHILLER ST, ELMHURST, IL 60126-2885
(331) 221-6377
(331) 221-2706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036114268
IL
208M00000X
Hospitalist Physician
Primary
036114268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114268
—
IL
Enumeration date
06/30/2006
Last updated
11/26/2024
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