Organization
ANIL SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIL SHAH MD (OWNER)
(312) 944-0117
Entity
Organization
Contact information
Practice address
845 N MICHIGAN AVE, SUITE 934E, CHICAGO, IL 60611-2252
(312) 944-0117
Mailing address
845 N MICHIGAN AVE, SUITE 934E, CHICAGO, IL 60611-2252
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
036120006
IL
Other
Enumeration date
04/20/2009
Last updated
08/24/2009
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