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Individual

SHANE ALLEN SANTEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5454 HOHMAN AVENUE, HAMMOND, IN 46320
(219) 932-2300
Mailing address
812 BEAUMONT DRIVE, APT 104, NAPERVILLE, IL 60540
(269) 547-0661

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004581A
IN
390200000X
Student in an Organized Health Care Education/Training Program
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02004581A
IN STATE LICENSE
IN
01
02004581B
IN CSR
IN
Enumeration date
06/14/2010
Last updated
03/07/2023
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