Individual
DR. DEEP N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, MBA
Contact information
Practice address
183 W 1ST ST, ELMHURST, IL 60126-2815
(630) 530-3338
Mailing address
1004 TUSCANY DR, STREAMWOOD, IL 60107-4529
(518) 330-7689
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
016.005976
IL
213ER0200X
Radiology Podiatrist
016.005976
IL
213ES0000X
Sports Medicine Podiatrist
016.005976
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005976
IL
213ES0131X
Foot Surgery Podiatrist
016.005976
IL
Other
Enumeration date
04/09/2019
Last updated
06/18/2024
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