Shah, Ansuya

Shah, Ansuya is an sole proprietor health care provider with primary practice located at 1146 Park Ave , River Forest IL 60305-1310. She recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as her primary health care specialty. Shah, Ansuya can be contacted via phone (708) 366-2707.

Contact Information

Primary practice address
1146 Park Ave River Forest IL 60305-1310
Phone: (708) 366-2707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036054371

Profile Details

NPI number 1902133937
LBN Legal business name Shah, Ansuya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2009
Last updated Nov 12th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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