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MR. ROBERT JAMES SHAUGHNESSY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1746
Mailing address
11050 84TH PL, WILLOW SPRINGS, IL 60480-1102
(708) 839-8173

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
IL

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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