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

Serena Shah

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417753211

Serena Shah is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1009 S Wood St
Chicago, IL 60612-3747
Phone: (905) 651-8611
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 125.086167 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1417753211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address1009 S Wood St, Chicago, IL 60612-3747

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