Individual
DEVAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 834-4064
Mailing address
5841 S MARYLAND AVE # MC1099, CHICAGO, IL 60637-1447
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019025948
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019025948
—
IL
Enumeration date
12/22/2006
Last updated
07/08/2007
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