Individual
MR. BRYAN M SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
12531 REGENCY PKWY, HUNTLEY, IL 60142-6500
(847) 659-1000
(847) 659-1012
Mailing address
12531 REGENCY PKWY, HUNTLEY, IL 60142-6500
(847) 659-1000
(847) 659-1012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020448
IL
Other
Enumeration date
01/27/2014
Last updated
07/31/2014
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