Individual
MEGHA P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 W ARGYLE ST, CHICAGO, IL 60640-3806
(773) 271-0300
Mailing address
6618 N SEELEY AVE, CHICAGO, IL 60645-5104
(773) 398-1756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012503
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
498599430
HEALTHPRO HERITAGE
IL
Enumeration date
04/11/2019
Last updated
04/11/2019
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