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
Phone: (630) 530-1501
Fax: (630) 530-1908
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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