Individual
ASHWIN M. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2740 W FOSTER AVE, CHICAGO, IL 60625-3500
(773) 293-4004
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036050334
IL
Other
Enumeration date
08/10/2005
Last updated
03/18/2011
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