Individual
DR. SHIVANG MANOJ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1624 W MONTROSE AVE, CHICAGO, IL 60613-1214
(773) 769-3338
(773) 769-5568
Mailing address
1624 W MONTROSE AVE, CHICAGO, IL 60613-1214
(773) 769-3338
(773) 769-5568
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005954
IL
Other
Enumeration date
04/12/2018
Last updated
12/22/2021
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