Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Raveena Shah, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962022095

Dr. Raveena Shah, DDS is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11238 S Western Ave
Chicago, IL 60643-4116
Phone: (708) 388-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 — (414) 288-6790

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.032683 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962022095
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 18, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address11238 S Western Ave, Chicago, IL 60643-4116

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