Individual
MR. SHAMSHOUN WARDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 271-5090
Mailing address
2740 W FOSTER AVE STE 310, CHICAGO, IL 60625-3547
(773) 878-8200
(773) 293-8804
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000353
IL
Other
Enumeration date
11/27/2012
Last updated
03/05/2018
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