Individual
SHANE M HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-1905
Mailing address
5756 CEDAR GROVE CIR, PLANO, TX 75093-8579
(972) 375-5193
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036174358
IL
Other
Enumeration date
04/19/2021
Last updated
08/15/2025
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