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Soniya Shah
NPI 1619586096 · on the registry since 2020
Practice
- Address
- 525 E Congress Pkwy Ste 300
Crystal Lake, IL 60014 - Phone
- (815) 759-9260
- Fax
- (815) 459-7840
- Organisation at this address
- Derick Dermatology, Pllc
Crystal Lake Immediate Care Physicians Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Additional practice sites
- 1819 Carew St, Fort Wayne, IN
- 4885 Hoffman Blvd Ste 400, Hoffman Estates, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois