person
Ms. Jack Ching Shaw, OPTICIAN
Technician/Technologist in Chicago, Illinois
NPI 1104947316

Jack Ching Shaw is a Technician/Technologist based in Chicago, IL. Jack Ching Shaw practices in Chicago, IL and has the professional credentials of OPTICIAN. The NPI Number for Jack Ching Shaw is 1104947316 and holds a License No. (Illinois).

The current practice location address for Jack Ching Shaw is 2906 N Broadway St, Chicago, IL and can be reached out via phone at 773-525-1601 and via fax at 773-435-4210.

Location: 2906 N Broadway St, Chicago, IL, 60657-7163
person
Provider Profile Details
NPI Number
1104947316
Provider Name
Jack Ching Shaw
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
2906 N Broadway St, Chicago, IL, 60657-7163
Phone Number
773-525-1601
Fax Number
773-435-4210
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2906 N Broadway St
City
State
Zip
60657-7163
Phone Number
773-525-1601
Fax Number
773-435-4210
person
Provider Business Mailing Address Details
Address
2906 N Broadway St
City
State
Zip
60657-7163
Phone Number
773-525-1601
Fax Number
773-435-4210
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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