Individual
SHAHID A ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 EAST 51ST STREET, CHICAGO, IL 60615
(312) 572-2664
(312) 572-2681
Mailing address
819 REDSTABLEWAY, OAKBROOK, IL 60523
(630) 794-0527
(630) 794-0547
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36-49188
IL
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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