Individual
JIGNASHA J SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1441 BRANDING AVE, SUITE 310, DOWNERS GROVE, IL 60515-1160
(312) 609-0300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.010034
IL
363LF0000X
Family Nurse Practitioner
041362309
IL
Other
Enumeration date
08/01/2012
Last updated
12/19/2024
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