Individual
ALEXANDER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6084 S ARCHER AVE, CHICAGO, IL 60638-2747
(773) 355-2800
Mailing address
6084 S ARCHER AVE, CHICAGO, IL 60638-2747
(773) 355-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036156823
IL
Other
Enumeration date
05/21/2018
Last updated
03/04/2024
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