Individual
DR. SHAUNA R GARGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041439079
IL
363L00000X
Nurse Practitioner
209029625
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209-029625
IL
Other
Enumeration date
01/11/2024
Last updated
10/30/2024
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