Individual
DR. JOSEPH SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 WINTHROP AVE, GLENDALE HEIGHTS, IL 60139-1405
(630) 545-5700
(630) 545-5784
Mailing address
911 N ELM ST, SUITE 215, HINSDALE, IL 60521-3634
(632) 856-6865
(630) 856-6813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36057774
IL
Other
Enumeration date
05/09/2006
Last updated
04/26/2013
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