Individual
CHIRAG M SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 118, CHICAGO, IL 60612-3835
(312) 942-8905
(312) 942-2384
Mailing address
1725 W HARRISON ST STE 118, CHICAGO, IL 60612-3835
(312) 942-8905
(312) 942-2384
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036117834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036117834
STATE LICENSE
IL
Enumeration date
10/08/2008
Last updated
10/03/2012
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