Davis, Shane Maxwell

Davis, Shane Maxwell is an individual health care provider with primary practice located at 1725 W Harrison St Ste 970 , Chicago IL 60612-3828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davis, Shane Maxwell can be contacted via phone (215) 350-8914.

Contact Information

Primary practice address
1725 W Harrison St Ste 970 Chicago IL 60612-3828
Phone: (215) 350-8914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 125084655 Illinois

Profile Details

NPI number 1619710670
LBN Legal business name Davis, Shane Maxwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2024
Last updated Jun 17th, 2024 - about 5 months 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.

Request for update

Popular Providers