BRIAN S SHAH

CHICAGO, IL
NPI1104867431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: IL  019.028191)
Additional Taxonomies204E00000X Oral & Maxillofacial Surgery
(Licence: IL  036.125106)
Enumeration Date2006-06-09
Last Update Date2014-02-07
Business Address
BRIAN S SHAH DDS, MD
1009 W WEBSTER AVE STORE FRONT
CHICAGO, IL 60614-3502
Phone number: 872-829-3280
Mailing Address
BRIAN S SHAH DDS, MD
1009 W WEBSTER AVE FRNT CHICAGO SURGICAL ARTS
CHICAGO, IL 60614-3502
Phone number: 872-829-3280