Individual
JAHANVI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 FOREST AVE UNIT 622, OAK PARK, IL 60301-1396
(304) 906-5621
Mailing address
150 FOREST AVE UNIT 622, OAK PARK, IL 60301-1396
(304) 906-5621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033991
IL
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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