Individual
SHANNON HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
810 BIESTERFIELD RD, EBERLE BUILDING, SUITE 605, ELK GROVE VILLAGE, IL 60007-7312
(847) 364-6724
(847) 364-6720
Mailing address
838 SHANDREW DR, NAPERVILLE, IL 60540-8223
(630) 357-4852
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
85000977
IL
Other
Enumeration date
06/27/2006
Last updated
06/12/2023
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