Individual
ANKITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1202 W MADISON ST, CHICAGO, IL 60607-1908
(312) 724-7161
Mailing address
1202 W MADISON ST, CHICAGO, IL 60607-1908
(818) 324-3315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027537
IL
Other
Enumeration date
12/21/2007
Last updated
03/16/2026
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