Shah, Deval
Shah, Deval is an individual health care provider with primary practice located at 180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Shah, Deval can be contacted via phone (773) 834-4064.Contact Information
Primary practice address
180 Harvester Dr Ste 110
Burr Ridge IL 60527-6686
Phone: (773) 834-4064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 019025948 | Illinois |
Profile Details
| NPI number | 1407911233 |
|---|---|
| LBN Legal business name | Shah, Deval |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407911233 | NPPES |
| Illinois | MEDICAID | 019025948 |
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