Puja Shah
Mental Health Counselor
1001 Rohlwing Rd
Elk Grove Vlg
, Illinois 60007-3217
Puja Shah
Mental Health Counselor
1001 Rohlwing Rd
Elk Grove Vlg
, Illinois 60007-3217
(630) 400-1585
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Puja Shah
- 2049 Ivy Ridge Dr
- Hoffman Estates, IL
- Zip : 60192-4153
- Phone : (630) 400-1585
Second Address
- Puja Shah
- 1001 Rohlwing Rd
- Elk Grove Vlg, IL
- Zip : 60007-3217
- Phone : (847) 524-8800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | ||
| N | 101YM0800X | Mental Health Counselor | 178.011009 | IL |
National Provider Identifier
| NPI | 1003235722 |
|---|---|
| Provider Name | Puja Shah |
| First Address | Hoffman Estates, IL 60192-4153 |
| Second Address | Elk Grove Vlg, IL 60007-3217 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2014 |
| Last Update Date | 28/06/2017 |
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.