Search › Illinois › 363LF0000X
Kunjal Shah
NPI 1710439526 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5801 Blackstone Ave
La Grange Highlands, IL 60525 - Phone
- (708) 482-0904
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-17
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