Reena P Shah
Pediatric Dentist
467 W Deming Pl Suite 900
Chicago
, Illinois 60614-1881
Reena P Shah
Pediatric Dentist
467 W Deming Pl Suite 900
Chicago
, Illinois 60614-1881
(312) 573-8405
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Reena P Shah
- 2300 N Childrens Plz #64
- Chicago, IL
- Zip : 60614-3363
- Fax : (312) 573-8405
- Phone : (312) 573-4515
Second Address
- Reena P Shah
- 467 W Deming Pl Suite 900
- Chicago, IL
- Zip : 60614-1881
- Phone : (773) 327-2950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 019025181 | IL |
National Provider Identifier
| NPI | 1053490383 |
|---|---|
| Provider Name | Reena P Shah |
| First Address | Chicago, IL 60614-3363 |
| Second Address | Chicago, IL 60614-1881 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2006 |
| Last Update Date | 08/07/2007 |
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.