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Individual

MS. KATHERINE ANNE SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
2650 RIDGE AVE., WALGREEN 2507, EVANSTON, IL 60201-1718
(847) 570-1271
(847) 570-2930

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085.005477
IL

Other

Enumeration date
06/23/2015
Last updated
01/13/2026
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