Individual
JULIE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1790 NATIONS DR, GURNEE, IL 60031-9164
(847) 244-9740
(847) 244-9870
Mailing address
1790 NATIONS DR, GURNEE, IL 60031-9164
(847) 244-9740
(847) 244-9870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49187020
WI
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34870000
—
WI
Enumeration date
08/16/2005
Last updated
03/14/2008
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