Individual
DR. LISA M SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
3227 N RICHMOND ST, CHICAGO, IL 60618-5817
(773) 293-6024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36114044
IL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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