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Jerrold Shapiro Md Ltd
Specialist in Chicago, Illinois
NPI 1609179597

Jerrold Shapiro Md Ltd is a Specialist based in Chicago, IL. Jerrold Shapiro Md Ltd practices in Chicago, IL. The NPI Number for Jerrold Shapiro Md Ltd is 1609179597 and holds a License No. 036042757 (Illinois).

The current practice location address for Jerrold Shapiro Md Ltd is 6374 N Lincoln Ave, Chicago, IL and can be reached out via phone at 773-588-5900 and via fax at 773-588-5775.

Location: 6374 N Lincoln Ave, Chicago, IL, 60659-1283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609179597
Provider Name
Jerrold Shapiro Md Ltd
Credential
Provider Entity Type
Organization
Address
6374 N Lincoln Ave, Chicago, IL, 60659-1283
Phone Number
773-588-5900
Fax Number
773-588-5775
Provider Enumeration Date
12/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036042757 05 IL
207RC0000X 01 IL TAXONOMY
institution
Provider Business Practice Location Address Details
Address
6374 N Lincoln Ave
City
Chicago
State
Illinois
Zip
60659-1283
Phone Number
773-588-5900
Fax Number
773-588-5775
person
Provider Business Mailing Address Details
Address
6374 N Lincoln Ave
City
Chicago
State
Illinois
Zip
60659-1283
Phone Number
773-588-5900
Fax Number
773-588-5775
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036042757 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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