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

Parth Shah

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417643255

Parth 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
2023
Specialties on file
2

Practice location Address checks out

1950 W Polk St
Chicago, IL 60612-3723
Phone: (312) 864-0395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.034197 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417643255
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 14, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address9345 Kostner Ave, Skokie, IL 60076-1325

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