Dr. David Bryan Shanker, M.D.
Dermatology in Chicago, IL. Individual provider (NPI-1).
NPI number1619905734
StatusActive
Last updated in NPPESOct 24, 2007
Details
- NPI
- 1619905734
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Bryan Shanker
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Oct 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 036-064577 | IL | Yes |
Practice location
25 E Washington St Ste 1131Chicago, IL 60602-1708
Phone 312-372-0150
Mailing address
25 E Washington St Ste 1131Chicago, IL 60602-1708
Phone 312-372-0150
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