Individual
VIRGINIA OLIVA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
055869
GA
208C00000X
Colon & Rectal Surgery Physician
Primary
036168019
IL
Other
Enumeration date
01/15/2008
Last updated
03/12/2024
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