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Individual

BHARAT K SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3414 W PETERSON, SUITE A, CHICAGO, IL 60659
(773) 478-1777
(877) 224-8985
Mailing address
3414 W PETERSON AVE, SUITE A, CHICAGO, IL 60659
(773) 478-1777
(773) 478-1964

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036068419
IL

Other

Enumeration date
07/10/2006
Last updated
07/14/2025
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