Organization
RAJENDRA R. SHAH, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA R. SHAH M.D. (SOLE OWNER)
(708) 424-3999
Entity
Organization
Contact information
Practice address
4944 W 95TH ST, OAK LAWN, IL 60453-2504
(708) 424-3999
(708) 424-4017
Mailing address
4944 W 95TH ST, OAK LAWN, IL 60453-2504
(708) 424-3999
(708) 424-4017
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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