Davies, Shawn Michael

Davies, Shawn Michael is an sole proprietor health care provider with primary practice located at 533 W North Ave Ste 101 , Elmhurst IL 60126-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Davies, Shawn Michael can be contacted via phone (630) 530-1501.

Contact Information

Primary practice address
533 W North Ave Ste 101 Elmhurst IL 60126-2100
Fax: (630) 530-1908
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 364184220 Illinois

Profile Details

NPI number 1003957713
LBN Legal business name Davies, Shawn Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Dec 28th, 2021 - about 3 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 1003957713 NPPES
Illinois Other 1627404 BCBS OF IL
Illinois Other 364184220 BCBS OF IL
Illinois MEDICAID 036095338 BCBS OF IL

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