Vibhakar Shantilal Shah, M.D. Valid NPI
Individual provider · Otolaryngology Physician · Gurnee, IL
- NPI
- 1649268780
- Type
- Individual (Type 1)
- Primary specialty
- Otolaryngology Physician (Otolaryngology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Y00000X
- License number
- 036053632 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-10-12
- Last updated
- 2008-01-11
Practice location
222 S Greenleaf St, Suite No. 109
Gurnee, IL 60031-5705
(847) 249-0167