Individual
GUNJAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2844 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 687-4513
(773) 687-4514
Mailing address
2844 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 687-4513
(773) 687-4514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294370
IL
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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