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Individual

MR. DANISH SHAHAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
133 E BRUSH HILL RD STE 100&400, ELMHURST, IL 60126-5659
(630) 717-2600
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036-152337
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036152337
IL
Enumeration date
04/03/2013
Last updated
08/22/2023
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