Individual
AMI N. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY FL 7, CHICAGO, IL 60612-3833
(312) 942-3034
(312) 942-9297
Mailing address
1653 W CONGRESS PKWY STE 793, CHICAGO, IL 60612-3833
(312) 942-9297
(312) 942-2867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.117934
IL
2086S0120X
Pediatric Surgery Physician
Primary
036117934
IL
Other
Enumeration date
10/11/2006
Last updated
01/20/2022
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