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Dr. Ansuya Shah, MD
Primary Care Clinic/Center in River Forest, Illinois
NPI 1902133937

Ansuya Shah is a Primary Care Clinic/Center based in River Forest, IL and is specialized in Primary Care. Ansuya Shah practices in River Forest, IL and has the professional credentials of MD. The NPI Number for Ansuya Shah is 1902133937 and holds a License No. 036054371 (Illinois).

The current practice location address for Ansuya Shah is 1146 Park Ave, River Forest, IL and can be reached out via phone at 708-366-2707.

Location: 1146 Park Ave, River Forest, IL, 60305-1310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902133937
Provider Name
Ansuya Shah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1146 Park Ave, River Forest, IL, 60305-1310
Phone Number
708-366-2707
Fax Number
Provider Enumeration Date
11/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1146 Park Ave
City
River Forest
State
Illinois
Zip
60305-1310
Phone Number
708-366-2707
Fax Number
person
Provider Business Mailing Address Details
Address
1146 Park Ave
City
River Forest
State
Illinois
Zip
60305-1310
Phone Number
708-366-2707
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
036054371 ()
Definition
Definition to come...
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