Individual provider · Type 1 NPI
Mansi R. Shah, MD, MBA
Child & Adolescent Psychiatry Physician · Chicago, IL
NPI number
1679093413
Active
Practice location
2150 West Harrison Street
Chicago, IL 60612
Mailing address
4720 N Clarendon Ave
Chicago, IL 60640-5122
Other practice locations
- 4720 N Clarendon Ave, Chicago, IL 60640-5122 · (773) 977-4031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 036159871 (IL) |
| Psychiatry Physician | 2084P0800X | 036159871 (IL) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1679093413
Mansi R. Shah, MD, MBA's National Provider Identifier is 1679093413, issued on Jun 22, 2017. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Chicago, IL. The record was last updated on Nov 6, 2025.