Shah, Falguni A

Shah, Falguni A is an sole proprietor health care provider with primary practice located at 4753 N Broadway St Ste 700 , Chicago IL 60640-4995. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is her primary health care specialty. Shah, Falguni A can be contacted via phone (773) 293-8461.

Contact Information

Primary practice address
4753 N Broadway St Ste 700 Chicago IL 60640-4995
Phone: (773) 293-8461
Fax: (773) 728-4751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.006396 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 180006396 Illinois

Profile Details

NPI number 1023272903
LBN Legal business name Shah, Falguni A
Credentials M.ED, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2008
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023272903 NPPES
Illinois MEDICAID 1548382690

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