Individual
ERIC SHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527
(773) 702-1150
Mailing address
5841 S MARYLAND AVE, MC 5068, CHICAGO, IL 60637-1447
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036140049
IL
207P00000X
Emergency Medicine Physician
274243
MA
Other
Enumeration date
06/25/2013
Last updated
06/18/2018
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