Individual
FRANK SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2551 N CLARK ST, SUITE 500, CHICAGO, IL 60614-1798
(773) 549-2881
(773) 549-2817
Mailing address
405 ASHLAND AVE, EVANSTON, IL 60202-3207
(847) 328-3826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-016399
IL
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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