Individual
SHIVANI ASHISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
125.082819
IL
Other
Enumeration date
03/20/2023
Last updated
06/26/2023
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