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Individual

ASAD SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2560 HAUSER ROSS DR, SUITE 450, SYCAMORE, IL 60178-3150
(815) 748-0340
Mailing address
2560 HAUSER ROSS DR STE 450, SYCAMORE, IL 60178-3185
(815) 748-3040
(815) 748-3070

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036103130
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036103130
IL
Enumeration date
03/01/2006
Last updated
07/14/2022
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