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Individual

MICHAEL JAMES SHANAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1999
Mailing address
4800 S CHICAGO BEACH DR APT 1609N, CHICAGO, IL 60615-2059
(312) 615-5573

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.016820
IL

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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