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Individual

JOHN A SHANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 618-4177
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(888) 646-7763
(866) 344-3934

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036112847
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036-112847
IL
207RP1001X
Pulmonary Disease Physician
036-112847
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112847
IL
Enumeration date
02/06/2007
Last updated
12/30/2025
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