| Monil P Shah Dmd Pc | |
|
5539 W Cermak Road Cicero IL 60804 | |
| (708) 652-7575 | |
| Not Available |
| Full Name | Monil P Shah Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5539 W Cermak Road, Cicero, Illinois |
| Authorized Official Name and Position | Monil Shah (PRESIDENT) |
| Authorized Official Contact | 7086527575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monil P Shah Dmd Pc 5539 W Cermak Road Cicero IL 60804 Ph: () - | Monil P Shah Dmd Pc 5539 W Cermak Road Cicero IL 60804 Ph: (708) 652-7575 |
| NPI Number | 1568712123 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 09/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568712123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027410 (Illinois) | Primary |
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