Individual provider · Type 1 NPI

Jack Ching Shaw, OPTICIAN

Technician/Technologist · Chicago, IL

NPI number 1104947316 Active

Practice location

2906 N Broadway St
Chicago, IL 60657-7163

Call (773) 525-1601 Map

Fax (773) 435-4210

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1104947316

Jack Ching Shaw, OPTICIAN's National Provider Identifier is 1104947316, issued on Apr 3, 2007. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Chicago, IL. The record was last updated on May 5, 2015.