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Individual

KHUSHBU SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2501 W PETERSON AVE, CHICAGO, IL 60659
(773) 761-0300
(773) 761-0009
Mailing address
6301 N WESTERN AVE, CHICAGO, IL 60659-2009
(773) 761-0300

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
319.018163
IL

Other

Enumeration date
07/13/2012
Last updated
08/04/2026
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