Shah, Hemendra S

Shah, Hemendra S is an individual health care provider with primary practice located at 3900 W Madison St 13, Chicago IL 60624-2354. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Shah, Hemendra S can be contacted via phone (773) 722-4405.

Contact Information

Primary practice address
3900 W Madison St 13 Chicago IL 60624-2354
Phone: (773) 722-4405
Fax: (773) 722-1200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X Illinois
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1942345749
LBN Legal business name Shah, Hemendra S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Apr 8th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942345749 NPPES
Illinois MEDICAID 363685567001

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