Individual
PURVI GOR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2786 CONNOLLY LN, WEST DUNDEE, IL 60118-1754
(713) 820-8576
Mailing address
2786 CONNOLLY LN, WEST DUNDEE, IL 60118-1754
(713) 820-8576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.031802
IL
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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