Richard Wai Choy Shum in Chicago - Dentist

Richard Wai Choy Shum - NPI 1366424475

Richard Wai Choy Shum is a Dentist in Chicago, Illinois. Richard Wai Choy Shum practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Wai Choy Shum is 1366424475. The last update date is 2007-07-08.

Richard Wai Choy Shum's current location address is 2124 S Archer Ave, Chicago, Illinois. You can contact this provider via phone number 3125670194 and fax number 3125670197. The mailing address for Richard Wai Choy Shum is 2124 S Archer Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Wai Choy Shum
Address 2124 S Archer Ave, Chicago, Illinois
Phone Number 3125670194
Fax Number 3125670197
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1366424475
Provider Enumeration Date 2005-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2124 S Archer Ave
City Chicago
State Illinois (IL)
Post Code 606161514
Phone Number 3125670194
Fax Number 3125670197

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Richard Wai Choy Shum

What is the unique 10-digit identification code issued to Richard Wai Choy Shum by the Centers for Medicare & Medicaid Services?

The Richard Wai Choy Shum has been assigned the NPI (National Provider Identifier) 1366424475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Richard Wai Choy Shum's facilities are geographically located?

The facilities of Richard Wai Choy Shum are physically situated at the following location: 2124 S Archer Ave, Chicago, IL, 606161514.

What is Richard Wai Choy Shum's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Wai Choy Shum's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did Richard Wai Choy Shum receive its 1366424475 assignment from the Centers for Medicare & Medicaid Services?

The Richard Wai Choy Shum was assigned its 1366424475 on 2005-11-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Richard Wai Choy Shum most recently updated or revised?

The details related to Richard Wai Choy Shum, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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