Individual
ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4025 N WESTERN AVE, CHICAGO, IL 60618-3726
(773) 275-7700
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(708) 636-7193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-080143
IL
Other
Enumeration date
08/11/2006
Last updated
09/20/2022
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