Individual
VICKI M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1725 W HARRISON ST STE 319, CHICAGO, IL 60612-3852
(312) 942-8910
Mailing address
1725 W HARRISON ST STE 319, CHICAGO, IL 60612-3852
(312) 942-8910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
01/07/2016
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