IndividualActive
Ansuya Shah, M.D
NPI 1902133937 · Primary Care Clinic/Center · River Forest, IL
Provider details
- NPI number
- 1902133937
- Entity type
- Individual
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036054371
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1146 Park Ave
River Forest, IL 60305-1310
Phone: (708) 366-2707
Approximate (ZIP-level) locationGet directions
Mailing address
1146 Park Ave
River Forest, IL 60305-1310
Registry dates
- Enumerated
- 2009-11-12
- Last updated
- 2009-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.