Individual
DR. AMI K SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5537 COUNTY FARM RD, HANOVER PARK, IL 60133-5179
(630) 289-4840
Mailing address
5537 COUNTY FARM RD, HANOVER PARK, IL 60133-5179
(630) 289-4840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027379
IL
Other
Enumeration date
10/19/2007
Last updated
01/10/2013
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