Shah, Mitisha M

Shah, Mitisha M is an individual health care provider with primary practice located at 6347 Cermak Rd Ste A , Berwyn IL 60402-4748. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shah, Mitisha M can be contacted via phone (708) 749-2566.

Contact Information

Primary practice address
6347 Cermak Rd Ste A Berwyn IL 60402-4748
Phone: (708) 749-2566
Fax: (708) 749-2498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070024243 Illinois

Profile Details

NPI number 1891331633
LBN Legal business name Shah, Mitisha M
Credentials MHS, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2019
Last updated Nov 26th, 2019 - 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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