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Ruth Subhash Shah, ANP
Family Nurse Practitioner in Chicago, Illinois
NPI 1235362773

Ruth Subhash Shah is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Ruth Subhash Shah practices in Chicago, IL and has the professional credentials of ANP. The NPI Number for Ruth Subhash Shah is 1235362773 and holds a License No. 209007743 (Illinois).

The current practice location address for Ruth Subhash Shah is 2525 S Michigan Ave, Chicago, IL and can be reached out via phone at 312-567-2128 and via fax at 312-328-7702.

Location: 2525 S Michigan Ave, Chicago, IL, 60616-2333
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Provider Profile Details
NPI Number
1235362773
Provider Name
Ruth Subhash Shah
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
2525 S Michigan Ave, Chicago, IL, 60616-2333
Phone Number
312-567-2128
Fax Number
312-328-7702
Provider Enumeration Date
09/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01621679 01 IL BCBSIL
950150 01 IL MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
2525 S Michigan Ave
City
State
Zip
60616-2333
Phone Number
312-567-2128
Fax Number
312-328-7702
person
Provider Business Mailing Address Details
Address
2525 S Michigan Ave
City
State
Zip
60616-2333
Phone Number
312-567-2128
Fax Number
312-328-7702
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209007743 (Illinois)
Definition
Definition to come...
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