Individual
DR. SHAWN MICHAEL POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N 1ST ST # D346, SPRINGFIELD, IL 62702-3757
(217) 545-8444
(217) 545-2563
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-8856
(217) 545-2563
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
101054
GA
2086S0129X
Vascular Surgery Physician
Primary
125.074978
IL
Other
Enumeration date
06/18/2019
Last updated
07/22/2024
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