Individual
DOV Y SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 MILWAUKEE AVE, LINCOLNSHIRE, IL 60069-3015
(847) 634-3952
(847) 634-3962
Mailing address
430 MILWAUKEE AVE, LINCOLNSHIRE, IL 60069-3015
(847) 634-3952
(847) 634-3962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615182
BLUE SHIELD
IL
Enumeration date
09/21/2006
Last updated
07/08/2007
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