Individual
AMISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
4400 W 95TH ST STE 101, OAK LAWN, IL 60453-2655
(312) 609-0300
Mailing address
4400 W. 95TH ST., STE 101, OAK LAWN, IL 60453
(312) 609-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-138213
IL
Other
Enumeration date
04/26/2012
Last updated
12/20/2021
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