Individual
SHAUNA JEAN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
2725 TECHNOLOGY DR, LOMBARD, IL 60148-5675
(630) 348-3300
(630) 572-0418
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000721
IL
Other
Enumeration date
07/29/2021
Last updated
07/18/2023
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