Organization
ALICE SHAU PING MA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE SHAU PING MA M.D. (OWNER/DOCTOR)
(312) 787-0000
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1208, CHICAGO, IL 60611-8701
(312) 787-0000
(312) 335-1681
Mailing address
680 N LAKE SHORE DR, SUITE 1208, CHICAGO, IL 60611-8701
(312) 787-0000
(312) 335-1681
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
042.619320 36.061694
IL
Other
Enumeration date
01/20/2009
Last updated
04/22/2009
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