Shaw, Susan

Shaw, Susan is an individual health care provider with primary practice located at 680 N Lake Shore Dr Suite 824, Chicago IL 60611-4546. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Shaw, Susan can be contacted via phone (813) 890-8004.

Contact Information

Primary practice address
680 N Lake Shore Dr Suite 824 Chicago IL 60611-4546
Phone: (813) 890-8004
Fax: (813) 290-9691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036098336 Illinois

Profile Details

NPI number 1962486001
LBN Legal business name Shaw, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers