Shah, Kalpana Tushar

Shah, Kalpana Tushar is an individual health care provider with primary practice located at 2025 S Chicago St , Joliet IL 60436-3172. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shah, Kalpana Tushar can be contacted via phone (815) 727-5813.

Contact Information

Primary practice address
2025 S Chicago St Joliet IL 60436-3172
Phone: (815) 727-5813
Fax: (815) 727-7260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19025713 Illinois

Profile Details

NPI number 1407846298
LBN Legal business name Shah, Kalpana Tushar
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 2nd, 2013 - about 12 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 1407846298 NPPES
Illinois MEDICAID 9176397

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