Individual
DR. ANKIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4446 W DIVERSEY AVE, CHICAGO, IL 60639-1939
(773) 725-7900
(773) 725-7900
Mailing address
4446 W DIVERSEY AVE, CHICAGO, IL 60639-1939
(773) 725-7900
(773) 725-7900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026112
IL
1223G0001X
General Practice Dentistry
Primary
019026112
IL
Other
Enumeration date
03/18/2008
Last updated
04/22/2021
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