Individual
DR. COLLEEN ELIZABETH MCSHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2650 RIDGE AVE, WALGREEN BLDG., SUITE 2507, EVANSTON, IL 60201-1718
(847) 570-2461
Mailing address
244 FOREST AVE, ROSELLE, IL 60172-2918
(630) 788-8375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018001938
IL
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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