Shah, Brian S

Shah, Brian S is an individual health care provider with primary practice located at 1009 W Webster Ave Store Front, Chicago IL 60614-3502. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Shah, Brian S can be contacted via phone (872) 829-3280.

Contact Information

Primary practice address
1009 W Webster Ave Store Front Chicago IL 60614-3502
Phone: (872) 829-3280
Fax: (872) 829-3281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019.028191 Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 036.125106 Illinois

Profile Details

NPI number 1104867431
LBN Legal business name Shah, Brian S
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Feb 7th, 2014 - about 10 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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