CHARLES T SHAW


Address: 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605
Phone: 7735811500

CHARLES T SHAW (NPI# 1720086960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720086960
Entity Type Individual
Full Name CHARLES T SHAW
Credential M.D.
Practice Address 6187 S Archer Ave
Suite 103
Chicago
IL 60638-2605
Practice Telephone 7735811500
Practice Fax Number 7735812160
Mailing Telephone 7735811500
Mailing Fax Number 7735812160
Enumeration Date 2005-07-12
Last Update Date 2009-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036078790 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD IND PROV # 110113958 01
IL RAILROAD GROUP # CL4550 01
IL 036078790 05

Other Providers CHARLES SHAW

NPI Name Taxonomy Address Enumeration
1851633044 Charles Shaw Psychologist 4118 Blossom St, Houston, TX 77007-5711 2013-03-26
1134456924 Charles Neal Shaw Chiropractor 110 Hampden Rd, Rochester, NY 14610-1036 2009-11-16
1316008857 Charles Holmes Shaw Orthopaedic Surgery 7257 Nw 4th Blvd # 9, Gainesville, FL 32607 2006-12-12
1982623583 Charles H Shaw Specialist 370 Cline Avenue, Mansfield, OH 44907 2006-07-18
1538123831 Charles J Shaw Family Medicine 3413 Brookend Ct, Oklahoma City, OK 73120-5007 2006-04-13
1952915308 Charles L Shaw Pharmacist 101 Doug Baker Blvd, Birmingham, AL 35242 2020-09-03
1922664432 Charles Wells Shaw V Social Worker 10-42 Mitchell Ave, Binghamton, NY 13903-1617 2019-05-10
1376982405 Charles Thomas Shaw Pharmacist 4521 Oleander Dr, Wilmington, NC 28403-5011 2013-06-21
1417100223 Charles Philip Shaw Family Medicine 1054 Center Dr Ste 2, Richmond, KY 40475-3851 2008-10-24

Office Location

Street Address 6187 S ARCHER AVE
SUITE 103
City CHICAGO
State IL
Zip Code 60638-2605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750589875 David Dionisio Family Medicine 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 2007-07-10
1659492759 Thomas R. Mizen, M.d. and Associates, LLC Ophthalmology 6187 S Archer Ave, Suite 101, Chicago, IL 60638-2605 2007-04-03
1639280530 Thomas R Mizen Ophthalmology 6187 S Archer Ave, Suite 101, Chicago, IL 60638-2605 2006-08-31
1023065976 Family Care Associates of Chicago Family Medicine 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 2006-05-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255931952 Dawid Bula Pharmacist 7090 S Cicero Ave, Bedford Park, IL 60638 2020-10-30
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
1891343711 Marie Dipasquale Technician 5837 So. Natoma Ave, Chgo, IL 60638 2019-09-04
1316434400 Ab Dental Professionals LLC Dentist 5672 South Archer Avenue, Chicago, IL 60638 2018-04-16
1427563204 Bethany Elkington Occupational Therapist 5764 South Archer Ave, Chicago, IL 60638 2017-12-03
1952759854 Ismael Gutierrez Family Medicine 6084 W Archer Ave, Chicago, IL 60638 2016-06-01
1336533314 Claude Lucas King Counselor 6235 S Major Ave Apt 1, Chicago, IL 60638 2015-03-27
1538594395 Mohammad Joudeh Chiropractor 4844 S Cicero Ave, Chicago, IL 60638 2013-09-11
1548602428 Clearing Vision Professional Corporation Optometrist 5718 W. 63rd St., Chicago, IL 60638 2013-07-22
1184963134 Raquel Ana Eguia Physical Therapist 5658 S. Parkside Ave, Chicago, IL 60638 2013-02-12
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922606193 Thatiana Carolina Schulze Goni Internal Medicine 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 2020-10-11
1750995742 Eva Bartaula Internal Medicine 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 2020-09-07
1750994513 Ranjit Babu Jasaraj Internal Medicine 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 2020-08-30
1871106005 Vijay Ketan Reddy Internal Medicine 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 2020-08-27
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1871119172 Irina Komissarova Internal Medicine 916 S Oakley Blvd, Chicago, IL 60612-4230 2020-06-22
1336760719 Arslan Zahid Internal Medicine 5847 S Maryland Ave, Chicago, IL 60637-1463 2020-04-27
1104447572 Nirmal Desai Internal Medicine 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 2020-04-27
1467072447 Justin Edmond Sipiora Internal Medicine 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 2020-04-20
1003449612 Eoht LLC Internal Medicine 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 2020-02-21
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Competitor

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City CHICAGO
Zip Code 60638

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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