Individual
DR. ALICE SHAU PING MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 1208, CHICAGO, IL 60611-4546
(312) 787-0000
(312) 335-1681
Mailing address
680 N LAKE SHORE DR, SUITE 1208, CHICAGO, IL 60611-4546
(312) 787-0000
(312) 335-1681
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036061694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623112
BLUE CROSS BLUE SHIELDS
—
Enumeration date
12/20/2006
Last updated
09/09/2009
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