JUSTIN SHANG

CHICAGO, IL
NPI1649858366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.078813)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-01
Last Update Date2021-06-24
Business Address
JUSTIN SHANG
1750 W HARRISON ST STE 744
CHICAGO, IL 60612-3825
Phone number: 312-942-3134
Mailing Address
JUSTIN SHANG
1750 W HARRISON ST STE 744
CHICAGO, IL 60612-3825
Phone number: 312-942-3134