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1609367119
ALEXANDER SHAW
CHICAGO, IL
NPI
1609367119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036156823)
Enumeration Date
2018-05-21
Last Update Date
2024-03-04
Business Address
ALEXANDER SHAW DO
6084 S ARCHER AVE
CHICAGO, IL 60638-2747
Phone number: 773-355-2800
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Mailing Address
ALEXANDER SHAW DO
6084 S ARCHER AVE
CHICAGO, IL 60638-2747
Phone number: 773-355-2800
Copy
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