Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY Y. SHAW, M.D.
ActiveGARY Y. SHAW, M.D. is a Facial Plastic Surgery healthcare provider located in CANTON, Illinois. NPI 1912940958 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · CANTON, IL
Registration Details
- NPI Number
- 1912940958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (20.177599676809 yrs)
- Last Updated
- Apr 13, 2021
- License
-
109774 (MO)
Practice Information
- Address
-
180 S MAIN STCANTON, IL, 615202608Browse IL providers · Browse ZIP 61520
- Phone
- 3096470201
- Fax
- 3096496880
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.