Individual
DR. SHAWN W PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-098847
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098847
—
IL
01
—
CE6001
RAILROAD MEDICARE GROUP-KANE COUNTY
—
01
—
CG2631
RAILROAD MEDICARE MCHENRY COUNTY
—
01
—
P00205874
RAILROAD MEDICARE PIN
—
Enumeration date
10/12/2005
Last updated
08/11/2023
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