Individual
JESSICA RAE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
486 RANDALL RD UNIT B, SOUTH ELGIN, IL 60177-3354
(224) 783-5000
(224) 361-4306
Mailing address
25 N WINFIELD RD STE 520, WINFIELD, IL 60190-1379
(630) 933-6930
(630) 933-2009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004648
IL
Other
Enumeration date
04/29/2013
Last updated
12/10/2025
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