PRACHI SHAH DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****58

ACTIVE

N

DO

PRACHI

SHAH

PRACHI SHAH DO

05/18/2021

05/24/2023

07/31/2026

EVERGREEN PARK

IL

60805

PRACTITIONER

II III IV V

N

05/24/2023