Individual
BIRJU AMIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9115 KNIGHT AVE, DES PLAINES, IL 60016-5156
(773) 988-0550
Mailing address
9115 KNIGHT AVE, DES PLAINES, IL 60016-5156
(773) 988-0550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298769
IL
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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