Organization
BRIAN SHAH, DDS, MD, PC
Active
Other names
Chicago Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SHAH M.D., D.D.S. (PRESIDENT)
(312) 659-6163
Entity
Organization
Contact information
Practice address
1009 W WEBSTER AVE, CHICAGO, IL 60614-3502
(872) 829-3280
(872) 829-3281
Mailing address
1009 W WEBSTER AVE, CHICAGO, IL 60614-3502
(872) 829-3280
(872) 829-3281
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019028191
IL
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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