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1871041244
EJAZ SHAH
SPRINGFIELD, IL
NPI
1871041244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208M00000X Hospitalist
(Licence: IL 036149641)
Enumeration Date
2016-09-14
Last Update Date
2022-01-05
Business Address
EJAZ SHAH
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Phone number: 217-544-6464
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Mailing Address
EJAZ SHAH
800 E CARPENTER ST
SPRINGFIELD, IL 62769-1000
Phone number:
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