John M Shaw
Medical Oncology
676 N Saint Clair St Ste 2140
Chicago
, Illinois 60611-2927
John M Shaw
Medical Oncology
676 N Saint Clair St Ste 2140
Chicago
, Illinois 60611-2927
(857) 240-0622
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- John M Shaw
- 25068 Network Pl
- Chicago, IL
- Zip : 60673-0001
- Fax : (857) 240-0622
- Phone : (847) 585-7000
Second Address
- John M Shaw
- 676 N Saint Clair St Ste 2140
- Chicago, IL
- Zip : 60611-2927
- Fax : (312) 664-5854
- Phone : (312) 664-5400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 036042608 | IL |
National Provider Identifier
| NPI | 1013906411 |
|---|---|
| Provider Name | John M Shaw |
| First Address | Chicago, IL 60673-0001 |
| Second Address | Chicago, IL 60611-2927 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2005 |
| Last Update Date | 14/05/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036042608 | (05) | IL |
| C43079 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.