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Individual

KEITH SHULMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4646 N MARINE DR FL 1, CHICAGO, IL 60640-5759
(773) 564-5030
Mailing address
2368 PAYSPHERE CIR, CHICAGO, IL 60674-2368

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036-069610
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036069610
IL
Enumeration date
07/11/2006
Last updated
07/08/2007
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