RUSHABH SHAH DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****57

ACTIVE

N

DO

RUSHABH

SHAH

RUSHABH SHAH DO

09/29/2020

04/06/2023

07/31/2026

EVERGREEN PARK

IL

60805

COOK

PRACTITIONER

II III IV V

N

04/06/2023