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Mr. Kumudchandra S Shah, MD
Obstetrics & Gynecology Physician in Hazel Crest, Illinois
NPI 1891862959

Kumudchandra S Shah is a Obstetrics & Gynecology Physician based in Hazel Crest, IL. Kumudchandra S Shah practices in Hazel Crest, IL and has the professional credentials of MD. The NPI Number for Kumudchandra S Shah is 1891862959 and holds a License No. 036048096 (Illinois).

The current practice location address for Kumudchandra S Shah is 17680 S Kedzie Ave, Hazel Crest, IL and can be reached out via phone at 708-799-5420 and via fax at 708-799-4093.

Location: 17680 S Kedzie Ave, Hazel Crest, IL, 60429-2043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891862959
Provider Name
Kumudchandra S Shah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17680 S Kedzie Ave, Hazel Crest, IL, 60429-2043
Phone Number
708-799-5420
Fax Number
708-799-4093
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036048096 05 IL
21605584 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
17680 S Kedzie Ave
City
Hazel Crest
State
Illinois
Zip
60429-2043
Phone Number
708-799-5420
Fax Number
708-799-4093
person
Provider Business Mailing Address Details
Address
17680 S Kedzie Ave
City
Hazel Crest
State
Illinois
Zip
60429-2043
Phone Number
708-799-5420
Fax Number
708-799-4093
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036048096 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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