ALICE SHAU PING MA MD SC NPI 1386881845

NPI Information

  • NPI: 1386881845
  • Provider Name: ALICE SHAU PING MA MD SC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 680 N LAKE SHORE DR
    SUITE 1208
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 787-0000

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NPI Details

ALICE SHAU PING MA MD SC is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ALICE SHAU PING MA MD SC NPI is 1386881845. The provider is registered as an organization entity type.

The provider's business location address is:

680 N LAKE SHORE DR
SUITE 1208
CHICAGO, IL
ZIP 60611-701
Phone: (312) 787-0000
Fax: (312) 335-1681

The provider's authorized official is Alice Shau Ping Ma .
The authorized official title is Owner/doctor and has the following contact phone number (312) 787-0000.

The enumeration date for this NPI number is 1/20/2009 and was last updated on 4/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty042.619320 36.061694ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E31022MEDICARE UPIN
2534200MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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