Individual
MR. AFAQ ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2242 STONEHAVEN DR, PLAINFIELD, IL 60586-8120
(312) 863-9386
Mailing address
2242 STONEHAVEN DR, PLAINFIELD, IL 60586-8120
(312) 863-9386
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
S000-0018-7319
IL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/02/2024
Last updated
11/15/2024
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