Individual
DR. MARK JUNG-CHING SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 36TH AVE, MOLINE, IL 61265-7127
(309) 743-6700
(309) 764-2042
Mailing address
1100 36TH AVE, MOLINE, IL 61265-7127
(309) 743-6700
(309) 764-2042
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036133915
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036133915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036133915
—
IL
Enumeration date
03/29/2011
Last updated
02/17/2023
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