David Michael Shore in Chicago - Urology
David Michael Shore - NPI 1184823163
David Michael Shore is a Urology in Chicago, Illinois. David Michael Shore practices all healthcare services and medical treatments related to Urology. The NPI Number for David Michael Shore is 1184823163. The last update date is 2019-07-12.
David Michael Shore's current location address is 1011 W Wellington Ave, Chicago, Illinois. You can contact this provider via phone number 7732801011 and fax number 7732811029. The mailing address for David Michael Shore is 1011 W Wellington Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Michael Shore |
|---|---|
| Address | 1011 W Wellington Ave, Chicago, Illinois |
| Phone Number | 7732801011 |
| Fax Number | 7732811029 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184823163 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2019-07-12 |
Provider Mailing Address Detail
| Address | 1011 W Wellington Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606574325 |
| Phone Number | 7732801011 |
| Fax Number | 7732811029 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 036-129535 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36129535 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David Michael Shore?
The David Michael Shore has been issued the NPI (National Provider Identifier) 1184823163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where David Michael Shore is physically located?
The David Michael Shore is situated at the following address: 1011 W Wellington Ave, Chicago, IL 606574325.
What is David Michael Shore's area of expertise and its corresponding taxonomy classification?
The David Michael Shore's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.
On what date did David Michael Shore receive its 1184823163 assignment from the Centers for Medicare & Medicaid Services?
The David Michael Shore was assigned its 1184823163 on 2007-07-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding David Michael Shore most recently updated?
The details pertaining to the David Michael Shore, including its address, specialty, and other relevant information, were last refreshed on 2019-07-12.