Individual
SHANNON M. EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9977 WOODS DR, 3RD FLOOR, SKOKIE, IL 60077-1057
(847) 663-8060
(847) 663-1027
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1644
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Enumeration date
10/16/2006
Last updated
07/09/2007
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