Individual
SHANNON SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1335 N MILL ST, STE 100, NAPERVILLE, IL 60563-2261
(630) 646-8000
(630) 646-8007
Mailing address
1335 N MILL ST, STE 100, NAPERVILLE, IL 60563-2261
(630) 646-8000
(630) 646-8007
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036111685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111685 1
—
IL
01
—
2220936
BCBS
IL
Enumeration date
05/10/2006
Last updated
12/16/2021
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