Kevin Jude Shanahan
NPI #1891443693 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1891443693
- Entity Type
- Individual
- Name
- Kevin Jude Shanahan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Mar 11, 2022
- Last Updated
- Sep 19, 2022
Practice Location
- Address
- 8321 W NORTH AVE
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-1669
- Phone
- (708) 681-2298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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