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Dr. Richard M. Shore, MD
Diagnostic Radiology Physician in Chicago, Illinois
NPI 1548254220

Richard M. Shore is a Diagnostic Radiology Physician based in Chicago, IL and is specialized in Diagnostic Radiology. Richard M. Shore practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Richard M. Shore is 1548254220 and holds a License No. 036-077175 (Illinois).

The current practice location address for Richard M. Shore is 225 E Chicago Ave # 9, Chicago, IL and can be reached out via phone at 312-227-4500 and via fax at 312-227-9785.

Location: 225 E Chicago Ave # 9, Chicago, IL, 60611-2991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548254220
Provider Name
Richard M. Shore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
225 E Chicago Ave # 9, Chicago, IL, 60611-2991
Phone Number
312-227-4500
Fax Number
312-227-9785
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036077175 05 IL
institution
Provider Business Practice Location Address Details
Address
225 E Chicago Ave # 9
City
Chicago
State
Illinois
Zip
60611-2991
Phone Number
312-227-4500
Fax Number
312-227-9785
person
Provider Business Mailing Address Details
Address
225 E Chicago Ave # 9
City
Chicago
State
Illinois
Zip
60611-2991
Phone Number
312-227-4500
Fax Number
312-227-9785
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
036077175 (Illinois)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
036-077175 (Illinois)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036-077175 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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