Organization
SONIA SHAH M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA SHAH (PRESIDENT)
(773) 794-8800
Entity
Organization
Contact information
Practice address
4211 N CICERO AVE, SUITE 203, CHICAGO, IL 60641-1651
(773) 794-8800
Mailing address
4211 N CICERO AVE, SUITE 203, CHICAGO, IL 60641-1651
(773) 794-8800
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036121040
IL
207R00000X
Internal Medicine Physician
036121040
IL
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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