Individual
SHENA MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1333 W BELMONT AVE STE 100, CHICAGO, IL 60657-5785
(312) 694-2273
(312) 694-1875
Mailing address
1333 W BELMONT AVE STE 100, CHICAGO, IL 60657-5785
(312) 694-2273
(312) 694-1875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005795
IL
363AM0700X
Medical Physician Assistant
5601006724
MI
Other
Enumeration date
09/25/2013
Last updated
12/08/2021
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