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Individual

MISS BINITA SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
500 E 51ST ST, CHICAGO, IL 60615-2400
(312) 572-2000
Mailing address
500 E 51ST ST, CHICAGO, IL 60615-2400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004261
IL
363AM0700X
Medical Physician Assistant
085004261
IL

Other

Enumeration date
10/10/2012
Last updated
04/30/2021
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