Organization
DILLON & SHAW, MD,SC
Active
Other names
Comprehensive HealthCare For Women
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S SHAW D.O. (PRESIDENT)
(847) 933-3956
Entity
Organization
Contact information
Practice address
9669 KENTON AVE, SUITE 550, SKOKIE, IL 60076-1266
(847) 933-3956
(847) 679-1505
Mailing address
9669 KENTON AVE, SUITE 550, SKOKIE, IL 60076-1266
(847) 933-3956
(847) 679-1505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633008
BLUE SHIELD
IL
Enumeration date
02/27/2007
Last updated
10/24/2007
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