SUHRUD JITENDRA SHAH

CHICAGO, IL
NPI1790462760
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.034413)
Enumeration Date2023-06-30
Last Update Date2023-06-30
Business Address
Dr. SUHRUD JITENDRA SHAH DMD
5249 N MOBILE AVE
CHICAGO, IL 60630-1009
Phone number: 773-456-7995
Mailing Address
Dr. SUHRUD JITENDRA SHAH DMD
5249 N MOBILE AVE
CHICAGO, IL 60630-1009
Phone number: 773-456-7995