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NPI Code Detail

MEDICARE: DR. SHELLEY Y AMUH MD

MEDICARE: DR. SHELLEY Y AMUH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036098087IL

General Provider Information

NPI Number : 1396780102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELLEY Y AMUH MD
Provider Business Mailing Address
First Line : 2320 E 93RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-3909
Country : US
Telephone Number : 773-967-3272
Fax Number :
Provider Business Practice Location Address
First Line : 2320 E 93RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60617-3909
Country : US
Telephone Number : 773-967-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 05/03/2022

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