Individual
DR. ANNA BALABANOVA SHANNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 E HURON ST STE 1100, CHICAGO, IL 60611-2948
(312) 926-0896
Mailing address
1475 E BELVIDERE RD, SUITE 385, GRAYSLAKE, IL 60030-2012
(847) 535-7157
(312) 694-0655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.114607
IL
Other
Enumeration date
01/21/2015
Last updated
07/11/2019
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