Individual
SHANNON CARRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5522
Mailing address
125 W BLAKE AVE APT D, COLUMBUS, OH 43202-2826
(720) 301-9379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.081471
IL
207RH0003X
Hematology & Oncology Physician
Primary
036.176208
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
04/19/2026
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