Individual
JASPER SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 15-200, CHICAGO, IL 60611-5967
(312) 695-0805
Mailing address
10724 WILSHIRE BLVD APT 1208, LOS ANGELES, CA 90024-4473
(626) 246-4198
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.142036
IL
207Y00000X
Otolaryngology Physician
A127240
CA
Other
Enumeration date
09/17/2013
Last updated
12/08/2021
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