Individual
LAYLA ALLISON SHADMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5841 S MARYLAND AVE # MC6035, CHICAGO, IL 60637-1443
(773) 702-6302
Mailing address
5841 S MARYLAND AVE # MC6035, CHICAGO, IL 60637-1443
(773) 702-6302
(773) 702-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006183
IL
363AS0400X
Surgical Physician Assistant
085.006183
IL
Other
Enumeration date
04/26/2017
Last updated
02/19/2018
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