Organization
ANKUR V SHAH DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKUR VINOD SHAH DMD (DENTIST)
(847) 800-3604
Entity
Organization
Contact information
Practice address
5050 S KEDZIE AVE, UNIT A, CHICAGO, IL 60632-3009
(773) 778-2200
Mailing address
600 N MCCLURG CT, #2507A, CHICAGO, IL 60611-3044
(847) 800-3604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027891
IL
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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