Individual
DR. ANSUYA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1146 PARK AVE, RIVER FOREST, IL 60305-1310
(708) 366-2707
Mailing address
1146 PARK AVE, RIVER FOREST, IL 60305-1310
(708) 366-2707
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036054371
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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