Individual
DR. SHANNON J HOPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
201 S 14TH ST, HERRIN HOSPITAL, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4929
Mailing address
6051 TRIPLE LAKES RD, MILLSTADT, IL 62260-3501
(618) 391-5944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036124554
IL
208M00000X
Hospitalist Physician
Primary
036124554
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124554
—
IL
Enumeration date
07/10/2007
Last updated
02/25/2022
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