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Individual

DR. SHANE PATRICK DORSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2650 RIDGE AVE STE G155, EVANSTON, IL 60201-1700
(847) 570-2570
(847) 733-5224
Mailing address
2650 RIDGE AVE STE G155, EVANSTON, IL 60201-1700
(847) 570-2570
(847) 733-5224

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036169444
IL
2084N0400X
Neurology Physician
86703
WI

Other

Enumeration date
03/20/2019
Last updated
04/13/2026
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