Brian S Shah
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1009 W Webster Ave Store Front
Chicago
, Illinois 60614-3502
Brian S Shah
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1009 W Webster Ave Store Front
Chicago
, Illinois 60614-3502
(872) 829-3281
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Brian S Shah
- 1009 W Webster Ave Frnt Chicago Surgical Arts
- Chicago, IL
- Zip : 60614-3502
- Fax : (872) 829-3281
- Phone : (872) 829-3280
Second Address
- Brian S Shah
- 1009 W Webster Ave Store Front
- Chicago, IL
- Zip : 60614-3502
- Fax : (872) 829-3281
- Phone : (872) 829-3280
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 019.028191 | IL |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 036.125106 | IL |
National Provider Identifier
| NPI | 1104867431 |
|---|---|
| Provider Name | Brian S Shah |
| First Address | Chicago, IL 60614-3502 |
| Second Address | Chicago, IL 60614-3502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 07/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.