Individual
VICKIE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1740 W TAYLOR ST STE 3200, CHICAGO, IL 60612-7232
(312) 996-4022
Mailing address
707 KNOCH KNOLLS RD, NAPERVILLE, IL 60565-3545
(214) 240-4628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006195
IL
Other
Enumeration date
09/03/2013
Last updated
04/14/2023
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