Organization
INSIGHT CHICAGO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAWAD SHAH DO (PRESIDENT)
(810) 275-9333
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(810) 275-9333
(810) 213-8069
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(810) 275-9333
(810) 213-8069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427020452
NPI
MI
Enumeration date
01/18/2022
Last updated
01/19/2022
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