Individual
DR. MICHAEL BRYAN SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 4028, CHICAGO, IL 60637-1447
(773) 702-6700
(773) 702-3535
Mailing address
5841 S MARYLAND AVE, MC 4028, CHICAGO, IL 60637-1447
(773) 702-6700
(773) 702-3535
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036127547
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
125054305
IL
Other
Enumeration date
08/14/2008
Last updated
04/20/2026
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