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1881600187
INDIRA SHAH
CHICAGO, IL
NPI
1881600187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 36057975)
Enumeration Date
2006-07-31
Last Update Date
2012-09-25
Business Address
-- INDIRA SHAH
2526 N LINCOLN AVE
CHICAGO, IL 60614-2353
Phone number: 773-929-7410
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Mailing Address
-- INDIRA SHAH
75 REMITTANCE DR DEPT 1704
CHICAGO, IL 60675-1704
Phone number: 727-823-2188
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