Most Relevant Information
Provider Data
| NPI Number: | 1003566282 |
| Provider Name: | FRED SHEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2022 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
251 E HURON ST
CHICAGO
IL
606112908
Practice Location Phone/Fax
| Phone: | 3129292000 |
| Fax: |
Provider Mailing Location
251 E HURON ST
CHICAGO
IL
606112908
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |