Most Relevant Information
Provider Data
| NPI Number: | 1003235722 |
| Provider Name: | PUJA SHAH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 178.011009 |
Most Important Dates
| Enumeration Date: | 04/09/2014 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1001 ROHLWING RD
ELK GROVE VLG
IL
600073217
Practice Location Phone/Fax
| Phone: | 8475248800 |
| Fax: |
Provider Mailing Location
2049 IVY RIDGE DR
HOFFMAN ESTATES
IL
601924153
Provider Mailing Phone/Fax
| Phone: | 6304001585 |
| Fax: |