Individual
DR. SHAWN ANDREW MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E CARPENTER ST DEPT OF, SPRINGFIELD, IL 62769-1000
(217) 544-4780
(217) 757-6431
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 655-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-137487
IL
2085R0202X
Diagnostic Radiology Physician
MD29447
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-137487
IL
2085R0204X
Vascular & Interventional Radiology Physician
MD29447
OR
Other
Enumeration date
12/02/2008
Last updated
11/27/2023
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