Individual
DR. MISHAIL A SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
114 W ROCKLAND RD, LIBERTYVILLE, IL 60048-2774
(847) 353-8802
(847) 353-8812
Mailing address
114 W ROCKLAND RD STE 101, LIBERTYVILLE, IL 60048-2797
(847) 353-8802
(866) 700-1910
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036100018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100018
—
IL
Enumeration date
02/17/2006
Last updated
06/01/2024
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