Most Relevant Information
Provider Data
| NPI Number: | 1003361155 |
| Provider Name: | NEIL SHETH MD, MBA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 125.078323 |
Most Important Dates
| Enumeration Date: | 08/18/2016 |
| Last Updated: | 07/16/2021 |
Provider Practice Location
1855 W TAYLOR ST
CHICAGO
IL
606127242
Practice Location Phone/Fax
| Phone: | 3129967774 |
| Fax: |
Provider Mailing Location
1855 W TAYLOR ST
CHICAGO
IL
606127242
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |