Individual
MATTHEW JAMES MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
901 BIESTERFIELD RD STE 104, ELK GROVE VILLAGE, IL 60007-3393
(847) 437-8366
Mailing address
3340 N LAWNDALE AVE # 3N, CHICAGO, IL 60618-5326
(630) 788-8374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031164
IL
Other
Enumeration date
03/20/2017
Last updated
09/16/2021
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