Individual
OJAS SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 PENNSYLVANIA AVENUE, SUITE 330, GLEN ELLYN, IL 60137
(630) 545-7576
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036130443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130443
—
IL
Enumeration date
10/17/2007
Last updated
08/18/2023
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