Individual
LAURA GUANGYING SHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 DAVIS ST, SUITE 200, EVANSTON, IL 60201-3683
(847) 866-3700
(847) 866-3731
Mailing address
909 DAVIS ST, SUITE 200, EVANSTON, IL 60201-3683
(847) 866-3700
(847) 866-3731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-139023
IL
207Q00000X
Family Medicine Physician
125062602
IL
Other
Enumeration date
06/03/2013
Last updated
03/30/2021
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