Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shane Maxwell Davis, MD

Individual provider Urology Physician · NPI 1619710670

Dr. Shane Maxwell Davis, MD is an Urology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1725 W Harrison St Ste 970
Chicago, IL 60612-3828
Phone: (215) 350-8914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 125084655 (IL)

Record details

NPI number1619710670
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 16, 2024
Mailing address1725 W Harrison St Ste 970, Chicago, IL 60612-3828

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