Organization
ELT4 NC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIMAL SHAH MD (DIRECTOR)
(919) 627-5805
Entity
Organization
Contact information
Practice address
444 N MICHIGAN AVE STE 3400, CHICAGO, IL 60611-3980
(919) 627-5805
Mailing address
444 N MICHIGAN AVE STE 3400, CHICAGO, IL 60611-3980
(919) 627-5805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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