Individual
SHIVANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 SPALDING DR STE 202, NAPERVILLE, IL 60540-6552
(630) 873-8889
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036129736
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129736
—
IL
Enumeration date
08/27/2009
Last updated
08/18/2023
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