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Manish Shukla, MD
NPI 1619983558 · on the registry since 2006
Practice
- Address
- 3943 W 31st St
St Jude Medical Center
Chicago, IL 60623 - Phone
- (773) 523-8773
- Fax
- (773) 523-9259
- Organisation at this address
- St Jude Medical Clinic Sc
Mount Sinai Community FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-31
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