# ALICE SHAU PING MA MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386881845
- **Authorized official:** DR. ALICE SHAU PING MA M.D. (OWNER/DOCTOR)
- **Authorized official phone:** (312) 787-0000

## Contact information

- **Practice address:** 680 N LAKE SHORE DR, SUITE 1208, CHICAGO, IL 60611-8701
- **Practice address phone:** (312) 787-0000
- **Practice address fax:** (312) 335-1681
- **Mailing address:** 680 N LAKE SHORE DR, SUITE 1208, CHICAGO, IL 60611-8701
- **Mailing address phone:** (312) 787-0000
- **Mailing address fax:** (312) 335-1681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 042.619320 36.061694 | IL | Yes |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 04/22/2009