Individual
ANITA J SHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 N MILWAUKEE AVE, CHICAGO, IL 60647-5453
(312) 926-3627
(773) 862-1454
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036161922
IL
208000000X
Pediatrics Physician
036161922
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
09/16/2024
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