Individual
MAIMOONA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
610 S MAPLE AVE, SUITE 3900, OAK PARK, IL 60304-1091
(708) 524-1674
Mailing address
610 S. MAPLE AVE., SUITE 3900, OAK PARK, IL 60304-1095
(708) 524-1674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-080120
IL
Other
Enumeration date
05/10/2006
Last updated
02/17/2015
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