Individual
DR. DIPAK SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5158 N LINCOLN AVE, CHICAGO, IL 60625-2521
(773) 907-8490
Mailing address
830 LARAMIE AVE, GLENVIEW, IL 60025-3465
(847) 724-5155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051032925
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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