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Oty Shapiro, MD
General Practice Physician in Chicago, Illinois
NPI 1851350540

Oty Shapiro is a General Practice Physician based in Chicago, IL. Oty Shapiro practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Oty Shapiro is 1851350540 and holds a License No. (Illinois).

The current practice location address for Oty Shapiro is 5600 W Addison St, Chicago, IL and can be reached out via phone at 773-777-3042 and via fax at 773-725-8400.

Location: 5600 W Addison St, Chicago, IL, 60634-4401
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Provider Profile Details
NPI Number
1851350540
Provider Name
Oty Shapiro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5600 W Addison St, Chicago, IL, 60634-4401
Phone Number
773-777-3042
Fax Number
773-725-8400
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21609723 01 IL BCBS PROVIDER #
233690 01 IL HARMONY PROVIDER #
208D00000X 01 IL TAXONOMY #
institution
Provider Business Practice Location Address Details
Address
5600 W Addison St
City
State
Zip
60634-4401
Phone Number
773-777-3042
Fax Number
773-725-8400
person
Provider Business Mailing Address Details
Address
5600 W Addison St
City
State
Zip
60634-4401
Phone Number
773-777-3042
Fax Number
773-725-8400
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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