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Contact Information

ALEEN SHAH, PA-C
145 S VIRGINIA ST
CRYSTAL LAKE, IL60014-7226
 Phone: 815-444-9999
 Fax: 815-986-1363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Medical

363AM0700X 97 Physician Assistant
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ALEEN SHAH · (Female)

NPI # 1942612668
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/29/2014
Last updated 01/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-005058
  • IL License # 085005058
  • IL License # XS3247245
Hospital affiliation(s) Not Available
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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