Provider Demographics
NPI:1821254590
Name:OSHER, SHIRA R (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRA
Middle Name:R
Last Name:OSHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIRA
Other - Middle Name:R
Other - Last Name:TROPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7447 W TALCOTT AVE
Mailing Address - Street 2:STE 542
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3716
Mailing Address - Country:US
Mailing Address - Phone:312-926-5924
Mailing Address - Fax:
Practice Address - Street 1:7447 W TALCOTT AVE STE 542
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3716
Practice Address - Country:US
Practice Address - Phone:773-631-2180
Practice Address - Fax:773-631-5947
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036123145207RP1001X, 207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036123145Medicaid