Individual
DR. GAIL M SHIOMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6110
Mailing address
5955 HICKORY CT, JOHNSTON, IA 50131-1621
(515) 296-2407
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-047731-1
—
IL
Enumeration date
09/22/2005
Last updated
07/08/2007
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