Individual
NICHOLE MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1034 N ROHLWING RD, ADDISON, IL 60101-1034
(630) 790-1872
Mailing address
PO BOX 713260, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036-168586
IL
Other
Enumeration date
04/11/2018
Last updated
08/29/2024
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