Individual
MICHAEL SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 695-8918
(312) 695-3644
Mailing address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 695-8918
(312) 695-3644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036106367
IL
2086S0127X
Trauma Surgery Physician
Primary
036106367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106367
—
IL
Enumeration date
05/19/2006
Last updated
08/17/2021
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