Individual
DR. SHAWN MICHAEL DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 W NORTH AVE STE 101, ELMHURST, IL 60126-2100
(630) 530-1501
(630) 530-1908
Mailing address
533 W NORTH AVE STE 101, ELMHURST, IL 60126-2100
(630) 530-1501
(630) 530-1908
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
364184220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095338
—
IL
01
—
1627404
BCBS OF IL
IL
01
—
364184220
TAX ID
IL
Enumeration date
02/08/2007
Last updated
12/28/2021
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