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Individual

DR. SETH SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5841 S MARYLAND AVE # MC4076, CHICAGO, IL 60637-1443
(773) 795-7624
(773) 702-2182
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
125073490
IL

Other

Enumeration date
08/12/2019
Last updated
08/12/2019
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