Provider Information for 1336278191
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Mr. DONALD WILLIAM SHAWLER L.C.P.C.
Sex: Male
NPI: 1336278191
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1336278191 | ||||||||
| Enumeration Date | 2007-03-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6171 N SHERIDAN RD #1706 CHICAGO, IL 60660-2810 United States Phone: 773-617-5883 | Fax: | ||||||||
| Primary Practice Address | 550 W WEBSTER AVE CHICAGO, IL 60614-3965 United States Phone: 773-617-5883 | Fax: | ||||||||
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