Individual
JOHN M SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST, STE 2140, CHICAGO, IL 60611-2927
(312) 664-5400
(312) 664-5854
Mailing address
25068 NETWORK PL, CHICAGO, IL 60673-0001
(847) 585-7000
(857) 240-0622
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036042608
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042608
—
IL
Enumeration date
10/18/2005
Last updated
05/14/2010
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