DR. RICHARD M. SHORE MD NPI 1548254220

NPI Information

NPI: 1548254220
Provider Name: DR. RICHARD M. SHORE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
225 E CHICAGO AVE # 9
CHICAGO, IL
ZIP 60611
Phone: (312) 227-4500
Get Directions

DR. Richard M. Shore, MD is a diagnostic radiology radiology in Chicago, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Richard M. Shore, MD NPI is 1548254220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

225 E CHICAGO AVE # 9
CHICAGO, IL
ZIP 60611-991
Phone: (312) 227-4500
Fax: (312) 227-9785

The NPI 1548254220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 11/6/2019.

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
1	2085N0904X	Radiology	Nuclear Radiology	036-077175	ILLINOIS	No
2	2085P0229X	Radiology	Pediatric Radiology	036-077175	ILLINOIS	No
3	2085R0202X	Radiology	Diagnostic Radiology	036077175	ILLINOIS	No
4	2085R0202X	Radiology	Diagnostic Radiology	036.077175	ILLINOIS	Yes

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
1	036077175	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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