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1720086960
CHARLES T SHAW
CHICAGO, IL
NPI
1720086960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036078790)
Enumeration Date
2005-07-12
Last Update Date
2024-03-04
Business Address
CHARLES T SHAW M.D.
6084 S ARCHER AVE
CHICAGO, IL 60638-2747
Phone number: 773-355-2800
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Mailing Address
CHARLES T SHAW M.D.
6084 S ARCHER AVE
CHICAGO, IL 60638-2747
Phone number: 773-355-2800
Copy
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