ANSUYA SHAH

RIVER FOREST, IL
NPI1902133937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2300X Clinic/Center Primary Care
(Licence:   036054371)
Enumeration Date2009-11-12
Last Update Date2009-11-12
Business Address
DR. ANSUYA SHAH M.D
1146 PARK AVE
RIVER FOREST, IL 60305-1310
Phone number: 708-366-2707
Mailing Address
DR. ANSUYA SHAH M.D
1146 PARK AVE
RIVER FOREST, IL 60305-1310
Phone number: 708-366-2707
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