Individual provider · Type 1 NPI

Ronald Dean Shore Ii, PA-C

Physician Assistant · Chicago, IL

NPI number 1083957740 Active

Practice location

1701 W Superior St
Chicago, IL 60622-5646

Call (312) 666-3494 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085004625 (IL)
Physician Assistant Primary 363A00000X56824 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083957740

Ronald Dean Shore Ii, PA-C's National Provider Identifier is 1083957740, issued on Apr 1, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 27, 2024.