Individual
COLLEEN SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5140 N CALIFORNIA AVE, CHICAGO, IL 60625-3645
(773) 878-8200
Mailing address
5140 N CALIFORNIA AVE, SUITE 635/645, CHICAGO, IL 60625-3645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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