Dr KETAN M SHAH is a male medical professional, specializing in Nurse Practitioner. He graduated in 2010 from Rush Medical College Of Rush University.
COUNTY OF DUPAGE DEPARTMENT OF HEALTH
1111 W LAKE ST
ADDISON
IL
601011101
Tel: 6306827400
| Npi | 1689959900 |
| Pac Id | 8921252925 |
| Professional Enrollment Id | I20130128000528 |
| Last Name | SHAH |
| First Name | KETAN |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | COUNTY OF DUPAGE DEPARTMENT OF HEALTH |
| Group Practice Pac Id | 4981695103 |
| Number Of Group Practice Members | 28 |
| Line 1 Street Address | 1111 W LAKE ST |
| Line 2 Street Address | |
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| City | ADDISON |
| State | IL |
| Zip Code | 601011101 |
| Phone Number | 6306827400 |
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| Professional Accepts Medicare Assignment | Y |
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