Individual
INDRAVADAN BABULAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4513 CHURCH ST, SKOKIE, IL 60076-1611
(847) 673-6804
Mailing address
4513 CHURCH ST, SKOKIE, IL 60076-1611
(847) 673-6804
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-032923
IL
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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