Individual
MICHAEL J. SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2454 E DEMPSTER ST, SUITE 400, DES PLAINES, IL 60016-5315
(847) 299-0700
(847) 390-0616
Mailing address
2454 E DEMPSTER ST, STE 400, DES PLAINES, IL 60016-5320
(847) 299-0700
(847) 390-0616
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
36070891
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036070891
IL
Other
Enumeration date
09/21/2006
Last updated
01/07/2019
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