Susan Shaw, M.D.

NPI #1962486001 in Chicago, Illinois

Provider Information

NPI Number: 1962486001
Entity Type: Individual
Name: Susan Shaw, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 2, 2005
Last Updated: Dec 15, 2021

Practice Location

Address: 680 N LAKE SHORE DR
Address 2: SUITE 824
City: Chicago
State: Illinois
ZIP Code: 60611-4546
Phone: (813) 890-8004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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