MS. JACK SHAW, OPTICIAN

Technician/Technologist

Active Individual
NPI: 1104947316

Practice Address

2906 N BROADWAY ST
Chicago, IL 60657

Phone: (773) 525-1601

Specialties

Specialty Code Primary License
Technician/Technologist 156F00000X Yes -

Frequently Asked Questions

NPI 1104947316 is the National Provider Identifier for MS. JACK SHAW, OPTICIAN, a Technician/Technologist provider located in Chicago, IL. This NPI was enumerated on April 3, 2007.
MS. JACK SHAW, OPTICIAN practices at 2906 N BROADWAY ST, Chicago, IL 60657.

Quick Facts

NPI
1104947316
Type
Individual
Enumerated
Apr 3, 2007
Last Updated
May 5, 2015

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