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NPI Code Detail

MEDICARE: DR. MICHAEL ALAN SHAPIRO M.D.

MEDICARE: DR. MICHAEL ALAN SHAPIRO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianIL

General Provider Information

NPI Number : 1699798363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALAN SHAPIRO M.D.
Provider Business Mailing Address
First Line : 333 N CANAL ST
Second Line : #2902
City : CHICAGO
State : IL
Zip : 60606-1368
Country : US
Telephone Number : 312-876-3315
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W HARRISON ST
Second Line : ROOM 3620
City : CHICAGO
State : IL
Zip : 60612-3714
Country : US
Telephone Number : 312-864-3034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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