Individual
KAMLESH RASIKLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8419 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 874-0425
(773) 874-0464
Mailing address
6851 FIELDSTONE DR, BURR RIDGE, IL 60527-5294
(630) 452-1841
(773) 874-0464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051032678
IL
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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