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Organization

LEROY OAKS FAMILY MEDICINE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BHAVESH A SHAH M.D. (PRESIDENT)
(630) 377-8880
Entity
Organization

Contact information

Practice address
2435 DEAN STREET, SUITE C, ST. CHARLES, IL 60175
(630) 377-8880
(630) 485-5129
Mailing address
2435 DEAN STREET, SUITE C, ST. CHARLES, IL 60175
(630) 377-8880
(630) 485-5129

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
11/17/2006
Last updated
02/26/2008
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