Individual
DR. SHAWN L. LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2110 FOX DR, CHAMPAIGN, IL 61820-7553
(217) 366-1237
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-115545
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115545 1
—
IL
01
—
279500
MEDICARE GROUP
—
01
—
P00368223
RAILROAD MEDICARE
—
Enumeration date
08/01/2006
Last updated
08/20/2013
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