Individual
RICHARD WAI CHOY SHUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2124 S ARCHER AVE, STE B, CHICAGO, IL 60616-1514
(312) 567-0194
(312) 567-0197
Mailing address
2124 S ARCHER AVE, STE B, CHICAGO, IL 60616-1514
(312) 567-0194
(312) 567-0197
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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