Individual
PARTH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-0395
Mailing address
9345 KOSTNER AVE, SKOKIE, IL 60076-1325
(224) 595-1252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034197
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2023
Last updated
10/26/2023
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