Individual
MR. ASHOK C SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1624 W MONTROSE AVE, CHICAGO, IL 60613
(773) 769-3338
(773) 769-5568
Mailing address
1624 W MONTROSE AVE, CHICAGO, IL 60613
(773) 769-3338
(773) 769-5568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064449
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064449
—
IL
Enumeration date
11/07/2006
Last updated
06/26/2013
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