Individual
MS. PALAK K. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-5156
Mailing address
1901 W HARRISON ST STE 3330, CHICAGO, IL 60612-3714
(312) 864-5156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002202
IL
363AS0400X
Surgical Physician Assistant
085002202
IL
Other
Enumeration date
08/03/2006
Last updated
04/30/2021
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