Organization
SHAPIRO SURGICAL ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SHAPIRO MD (PRESIDENT)
(312) 641-1150
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, SUITE 1709, CHICAGO, IL 60602-1903
(312) 641-1150
(312) 332-0299
Mailing address
111 N WABASH AVE, SUITE 1709, CHICAGO, IL 60602-1903
(312) 641-1150
(312) 332-0299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31601666
BCBS OF IL
IL
Enumeration date
07/20/2006
Last updated
08/22/2020
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