Shah, Kunjal
Shah, Kunjal is an sole proprietor health care provider with primary practice located at 5801 Blackstone Ave , La Grange Highlands IL 60525-7108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shah, Kunjal can be contacted via phone (708) 482-0904.Contact Information
Primary practice address
5801 Blackstone Ave
La Grange Highlands IL 60525-7108
Phone: (708) 482-0904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-015057 | Illinois |
Profile Details
| NPI number | 1710439526 |
|---|---|
| LBN Legal business name | Shah, Kunjal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Dec 17th, 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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