Shah, Chandrika

Shah, Chandrika is an individual health care provider with primary practice located at 500 E 51St Street Provident Hospital Of Cook County Dept Of Gen Surgery, Chicago IL 60615. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Shah, Chandrika can be contacted via phone (312) 572-2664.

Contact Information

Primary practice address
500 E 51St Street Provident Hospital Of Cook County Dept Of Gen Surgery Chicago IL 60615
Phone: (312) 572-2664
Fax: (312) 572-2681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-001953 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MS0930241 Illinois

Profile Details

NPI number 1114928884
LBN Legal business name Shah, Chandrika
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Apr 30th, 2021 - about 3 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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