Individual
DR. ASHOK N SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8419 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 651-0200
(773) 651-8968
Mailing address
8419 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 651-0200
(773) 651-8968
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036054823
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054823
—
IL
05
—
202260500A
—
IN
Enumeration date
06/14/2006
Last updated
06/29/2011
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