Individual
DR. JYOTI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1335 N MILL ST STE 100, NAPERVILLE, IL 60563-2047
(630) 646-8000
(630) 646-8007
Mailing address
1335 N MILL ST, SUITE 100, NAPERVILLE, IL 60563-2261
(630) 646-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036140424
IL
390200000X
Student in an Organized Health Care Education/Training Program
11016147A
IN
Other
Enumeration date
12/12/2011
Last updated
07/21/2022
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