Organization
RACHNA SHAH MD SC
Active
Parent organization
RACHNA SHAH MD SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RACHNA SHAH MD SC
Authorized official
DR. RACHNA SHAH M.D. (PRESIDENT)
(216) 288-1154
Entity
Organization
Contact information
Practice address
675 WEST NORTH AVE, #310, MELROSE PARK, IL 60160
(708) 450-5054
Mailing address
675 WEST NORTH AVE, #310, MELROSE PARK, IL 60160
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36-122188
IL
207R00000X
Internal Medicine Physician
36-122188
IL
Other
Enumeration date
12/08/2011
Last updated
01/20/2012
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