Individual
MR. ILESH J SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11309 S MICHIGAN AVE, CHICAGO, IL 60628-4911
(773) 264-1111
Mailing address
10419 VICTORIA CT, MUNSTER, IN 46321-2827
(773) 264-1111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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