Individual
MRS. RESHMA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST STE 2E, CHICAGO, IL 60612-4795
(312) 996-7416
(312) 413-8778
Mailing address
840 S WOOD ST # MC856, CHICAGO, IL 60612-4325
(312) 355-1675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036116066
IL
Other
Enumeration date
09/07/2006
Last updated
12/18/2013
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