Individual
ABRAHAM SHASHOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N HALSTED ST, SUITE 405, CHICAGO, IL 60657-5188
(773) 296-7300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036090086
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090086
—
IL
Enumeration date
07/08/2006
Last updated
05/07/2024
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