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Search › Illinois › Technician/Technologist

Jack Shaw, OPTICIAN

NPI 1104947316 · on the registry since 2007 · sole proprietor

Practice

Address
2906 N Broadway St
Chicago, IL 60657
Phone
(773) 525-1601
Fax
(773) 435-4210
Organisation at this address
Jack Shaw Superior Eye Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Technician/Technologist
156F00000X
Sex
Male
Record last updated
2015-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois