Individual
BRIGID COLLEEN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616
(312) 567-7924
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
336.110656
IL
207P00000X
Emergency Medicine Physician
34.016892
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125071502
IL STATE BOARD
IL
Enumeration date
03/25/2016
Last updated
01/25/2024
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