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Sudha V. Shah, MD
Pediatric Adolescent Medicine Physician in Chicago, Illinois
NPI 1417966789

Sudha V. Shah is a Pediatric Adolescent Medicine Physician based in Chicago, IL and is specialized in Adolescent Medicine. Sudha V. Shah practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Sudha V. Shah is 1417966789 and holds a License No. 036060895 (Illinois).

The current practice location address for Sudha V. Shah is 1516 W Devon Ave, Chicago, IL and can be reached out via phone at 773-465-7889 and via fax at 773-465-7615. You can also correspond with Sudha V. Shah through the mailing address at 1516 W DEVON AVE, CHICAGO, IL - 60660-1314 (mailing address contact number: 773-465-7889).

Location: 1516 W Devon Ave, Chicago, IL, 60660-1314
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Provider Profile Details
NPI Number
1417966789
Provider Name
Sudha V. Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1516 W Devon Ave, Chicago, IL, 60660-1314
Phone Number
773-465-7889
Fax Number
773-465-7615
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036060895 05 IL
institution
Provider Business Practice Location Address Details
Address
1516 W Devon Ave
City
State
Zip
60660-1314
Phone Number
773-465-7889
Fax Number
773-465-7615
person
Provider Business Mailing Address Details
Address
1516 W Devon Ave
City
State
Zip
60660-1314
Phone Number
773-465-7889
Fax Number
773-465-7615
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
036060895 (Illinois)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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