Individual
NEHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6455 S KEDZIE AVE, CHICAGO, IL 60629-3292
(773) 863-9234
(773) 863-9274
Mailing address
6455 S KEDZIE AVE, CHICAGO, IL 60629-3292
(773) 863-9234
(773) 863-9274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010929
IL
Other
Enumeration date
09/20/2015
Last updated
01/04/2025
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