person
Mr. Ketan Mahendra Shah, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Wheaton, Illinois
NPI 1689959900

Ketan Mahendra Shah is a Psychiatric/Mental Health Nurse Practitioner based in Wheaton, IL and is specialized in Psychiatric/Mental Health. Ketan Mahendra Shah practices in Wheaton, IL and has the professional credentials of PMHNP-BC. The NPI Number for Ketan Mahendra Shah is 1689959900 and holds a License No. 209008868 (Illinois).

The current practice location address for Ketan Mahendra Shah is 111 N County Farm Rd, Wheaton, IL and can be reached out via phone at 630-682-7400. You can also correspond with Ketan Mahendra Shah through the mailing address at 111 N COUNTY FARM RD, WHEATON, IL - 60187-3977 (mailing address contact number: ).

Location: 111 N County Farm Rd, Wheaton, IL, 60187-3977
person
Provider Profile Details
NPI Number
1689959900
Provider Name
Ketan Mahendra Shah
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
111 N County Farm Rd, Wheaton, IL, 60187-3977
Phone Number
630-682-7400
Fax Number
Provider Enumeration Date
10/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 N County Farm Rd
City
State
Zip
60187-3977
Phone Number
630-682-7400
Fax Number
person
Provider Business Mailing Address Details
Address
111 N County Farm Rd
City
State
Zip
60187-3977
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209008868 (Illinois)
Definition
Definition to come...
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