RAVEENA SHAH

CHICAGO, IL
NPI1962022095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032683)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-18
Last Update Date2020-08-17
Business Address
Dr. RAVEENA SHAH DDS
11238 S WESTERN AVE
CHICAGO, IL 60643-4116
Phone number: 708-388-0001
Mailing Address
Dr. RAVEENA SHAH DDS
11238 S WESTERN AVE
CHICAGO, IL 60643-4116
Phone number: