Organization
J H SHIELDS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB H SHIELDS M.D. (PRESIDENT)
(815) 404-6664
Entity
Organization
Contact information
Practice address
4500 UTICA RIDGE RD, UNITY POINT HEALTH-TRINITY, BETTENDORF, IA 52722
(563) 742-5000
Mailing address
5854 N NICKERSON AVE, CHICAGO, IL 60631-2426
(815) 404-6664
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
41636
IA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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