Individual
DR. RICHARD NELSON SHATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 BROADWAY ST, QUINCY, IL 62301-2809
(217) 228-1312
(217) 228-1316
Mailing address
1135 BROADWAY ST, QUINCY, IL 62301-2809
(217) 228-1312
(217) 228-1316
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036107867
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107867
—
IL
Enumeration date
01/10/2006
Last updated
06/20/2011
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