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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083450332

Mallika Shah is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

60 E Randolph St Apt 1603
Chicago, IL 60601-8043
Phone: (424) 465-0922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.035500 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083450332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address60 E Randolph St Apt 1603, Chicago, IL 60601-8043

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