Individual
ARPIT SURESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8012 S CRANDON AVE, SUITE 100, CHICAGO, IL 60617-1124
(708) 356-5415
Mailing address
88 SILO RIDGE RD W, ORLAND PARK, IL 60467-7331
(708) 460-8605
(708) 310-4320
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036121414
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036121414
LICENSE NUMBER
IL
01
—
4673170001
DMERC GROUP
IL
Enumeration date
09/04/2008
Last updated
04/16/2013
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