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Organization

ASHOK N SHAH MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ASHOK N SHAH M.D. (PRESIDENT)
(773) 651-0200
Entity
Organization

Contact information

Practice address
8419 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 651-0200
(773) 651-8968
Mailing address
8419 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 651-0200
(773) 651-8968

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036054823
IL
208000000X
Pediatrics Physician
036061434
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202260500A
IN
Enumeration date
11/26/2007
Last updated
10/27/2015
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