Charles T Shaw (NPI# 1720086960, PAC ID# 1254222425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720086960 |
| PAC ID by PECOS | 1254222425 |
| Professional Enrollment ID | I20040329000310 |
| Full Name | Charles T Shaw |
| Organization Legal Name | FAMILY CARE ASSOCIATES OF CHICAGO |
| Address |
6187 S Archer Ave Suite 103 Chicago IL 60638-2605 |
| Phone Number | 7735812319 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6608169321 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140054 | MACNEAL HOSPITAL |
| 140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 | 7735812319 | FAMILY CARE ASSOCIATES OF CHICAGO |
| Organization Legal Name | FAMILY CARE ASSOCIATES OF CHICAGO |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Dionisio | Family Medicine | Family Care Associates of Chicago | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 |
| Gregory P Daly | Family Practice | Family Care Associates of Chicago | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 |
| Street Address |
6187 S ARCHER AVE SUITE 103 |
| City | CHICAGO |
| State | IL |
| Zip | 60638-2605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Linn Totonchi | Obstetrics/gynecology | L Medicine Physician Group LLC | 6187 S Archer Ave, Suite 102, Chicago, IL 60638-2605 |
| Janet Cruz | Obstetrics/gynecology | L Medicine Physician Group LLC | 6187 S Archer Ave, Suite 102, Chicago, IL 60638-2605 |
| Monika A Zeromska- Cancellaro | Obstetrics/gynecology | L Medicine Physician Group LLC | 6187 S Archer Ave, Suite 102, Chicago, IL 60638-2605 |
| David Dionisio | Family Medicine | Family Care Associates of Chicago | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 |
| Gregory P Daly | Family Practice | Family Care Associates of Chicago | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph P Laluya | Physical Medicine and Rehabilitation | American Current Care of Illinois PC | 5015 W 6th St, Bedford Park, IL 60638 |
| Michael Awad | Obstetrics/gynecology | Magdy K Awad Md Sc | 5311 S Harlem Ave, Chicago, IL 60638-1006 |
| Magdy K Awad | Obstetrics/gynecology | Magdy K Awad Md Sc | 5311 S Harlem Ave, Chicago, IL 60638-1006 |
| Lawrence A Woss | Chiropractic | 5839 S Archer Ave, Chicago, IL 60638-1619 | |
| Nicole Olaya | Physical Therapy | Chicago Rehabilitation Services Inc | 5764 S Archer Ave, Chicago, IL 60638-1643 |
| John R Bylewski | Internal Medicine | 5780 S Archer Ave, Chicago, IL 60638-1644 | |
| Bernard L Slusinski | Family Medicine | 5680 S Archer Ave, Suite 100, Chicago, IL 60638-1677 | |
| Amy Guan | Nurse Practitioner | Access Community Health Network | 4839 W 47th St, Chicago, IL 60638-2039 |
| Carol P Wardlaw | Nurse Practitioner | Access Community Health Network | 4839 W 47th St, Southwest Family Health Center, Chicago, IL 60638-2039 |
| Loritz M Chavez | Hospitalist | 4940 S Cicero Ave, Chicago, IL 60638-2116 | |
| Find all physicians in zip 60638 | |||
| City | CHICAGO |
| Zip Code | 60638 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.