Individual
DR. CHIRAG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
316 BURR RIDGE PKWY, BURR RIDGE, IL 60527-6485
(630) 655-9970
(630) 655-9870
Mailing address
2625 BUTTERFIELD RD, SUITE 301N, OAK BROOK, IL 60523-1234
(630) 320-6400
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633281
BLUE CROSS ID #
IL
01
—
K32050
MEDICARE ID #
IL
Enumeration date
06/15/2006
Last updated
07/21/2015
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