Shore, Richard M.

Shore, Richard M. is an individual health care provider with primary practice located at 225 E Chicago Ave # 9 , Chicago IL 60611-2991. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shore, Richard M. can be contacted via phone (312) 227-4500.

Contact Information

Primary practice address
225 E Chicago Ave # 9 Chicago IL 60611-2991
Phone: (312) 227-4500
Fax: (312) 227-9785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 036-077175 Illinois
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 036-077175 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036077175 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.077175 Illinois

Profile Details

NPI number 1548254220
LBN Legal business name Shore, Richard M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Nov 6th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548254220 NPPES
Illinois MEDICAID 036077175

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