Individual
DR. JEFFREY SHANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 W NORTH AVE, SUITE-210, MELROSE PARK, IL 60160-1634
(708) 838-1448
(708) 344-0508
Mailing address
675 W NORTH AVE, SUITE-210, MELROSE PARK, IL 60160-1634
(708) 838-1448
(708) 344-0508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-064782
IL
207RI0011X
Interventional Cardiology Physician
Primary
036-064782
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-064782
—
IL
01
—
110032830
RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
IL
01
—
1164530713
GROUP NPI NUMBER FOR CONSULTANTS IN CARDIOVASCULAR MEDICINE S C
IL
01
—
209712
MEDICARE GROUP NUMBER
IL
01
—
216577
MEDICARE GROUP PTAN FOR LOCALITY 015
IL
01
—
31602469
BLUECROSS BLUE SHIELD GROUP PROVIDER NUMBER
IL
01
—
961280
MEDICARE GROUP NUMBER FOR CONSULTANTS IN CARDIOVASCULAR MEDICINE, S.C.
IL
01
—
CC1592
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
K51366
MEDICARE INDIVIDUAL PTAN FOR LOALITY 015
IL
01
—
L18915
MEDICARE PTAN NUMBER
IL
Enumeration date
05/26/2006
Last updated
01/21/2019
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