Individual
SHANA ANN HORNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4061 W 95TH ST STE 3, OAK LAWN, IL 60453-2611
(708) 423-2880
(708) 423-2933
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-9307
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-008212
IL
Other
Enumeration date
07/27/2017
Last updated
09/22/2021
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