Organization
D U SHAH MD SC
Active
Organization
D U SHAH MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVENDRA SHAH MD (PRESIDENT)
(847) 358-8578
Entity
Organization
Contact information
Practice address
3845 WHISPERING TRAILS DR, HOFFMAN ESTATES, IL 60192-1562
(847) 358-8578
Mailing address
3845 WHISPERING TRAILS DR, HOFFMAN ESTATES, IL 60192-1562
(847) 358-8578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060802
—
IL
Enumeration date
01/31/2019
Last updated
01/31/2019
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