Provider Demographics
NPI:1083813596
Name:MUNSHI, SHIBANI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIBANI
Middle Name:
Last Name:MUNSHI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:150 E HURON ST STE 1110
Mailing Address - Street 2:NORTHWESTERN INTEGRATIVE MEDICINE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2999
Mailing Address - Country:US
Mailing Address - Phone:312-926-3627
Mailing Address - Fax:312-926-6285
Practice Address - Street 1:150 E HURON ST STE 1110
Practice Address - Street 2:NORTHWESTERN INTEGRATIVE MEDICINE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2999
Practice Address - Country:US
Practice Address - Phone:312-926-3627
Practice Address - Fax:312-926-6285
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY248893207Q00000X
IL036-129908207Q00000X
WI56542-20207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine