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Gary Y. Shaw, MD
Otolaryngology/Facial Plastic Surgery Physician in Canton, Illinois
NPI 1912940958

Gary Y. Shaw is a Otolaryngology/Facial Plastic Surgery Physician based in Canton, IL and is specialized in Otolaryngology/Facial Plastic Surgery. Gary Y. Shaw practices in Canton, IL and has the professional credentials of MD. The NPI Number for Gary Y. Shaw is 1912940958 and holds a License No. 109774 (Illinois).

The current practice location address for Gary Y. Shaw is 180 S Main St, Canton, IL and can be reached out via phone at 309-647-0201 and via fax at 309-649-6880.

Location: 180 S Main St, Canton, IL, 61520-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912940958
Provider Name
Gary Y. Shaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
180 S Main St, Canton, IL, 61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
180 S Main St
City
Canton
State
Illinois
Zip
61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
person
Provider Business Mailing Address Details
Address
180 S Main St
City
Canton
State
Illinois
Zip
61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
109774 (Missouri)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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