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Contact Information

CHANDRIKA SHAH, PA
500 E 51ST STREET
PROVIDENT HOSPITAL OF COOK COUNTY DEPT OF GEN SURGERY
CHICAGO, IL60615
 Phone: 312-572-2664
 Fax: 312-572-2681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHANDRIKA SHAH · (Female)

NPI Number 1114928884
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/03/2005
Last updated 04/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-001953
  • IL License # MS0930241
Hospital affiliation(s)
  • JOHN H STROGER JR HOSPITAL - (Acute Care)
    1901 W HARRISON ST
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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