Individual
EISHA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 LEE ST, DES PLAINES, IL 60016-6532
(877) 486-4140
Mailing address
9064 W OAKS AVE, DES PLAINES, IL 60016-4251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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