Shah, Serena

Shah, Serena is an individual health care provider with primary practice located at 1009 S Wood St , Chicago IL 60612-3747. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Shah, Serena can be contacted via phone (905) 651-8611.

Contact Information

Primary practice address
1009 S Wood St Chicago IL 60612-3747
Phone: (905) 651-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 125.086167 Illinois

Profile Details

NPI number 1417753211
LBN Legal business name Shah, Serena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2025
Last updated Aug 22nd, 2025 - about last year

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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