Individual
DR. SHANA LEAH MARGOLIS
Active
Individual
DR. SHANA LEAH MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036117693
IL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
036-117693
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036-117693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117693-1
—
IL
05
—
036117693-2
—
IL
Enumeration date
09/19/2007
Last updated
10/09/2023
Update your record
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