Individual
LAURA SHAHTAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4928 W 95TH ST, OAK LAWN, IL 60453-2504
(708) 424-0143
(708) 425-8833
Mailing address
201 E OGDEN AVE, STE 126, HINSDALE, IL 60521-3633
(630) 325-6133
(630) 325-4751
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000805
IL
Other
Enumeration date
05/19/2006
Last updated
05/27/2014
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