Individual
SHANNON K MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1301 W. 22ND STREET STE 610, CONTINENTAL ANESTHESIA, OAKBROOK, IL 60523
(630) 537-1720
(773) 326-3518
Mailing address
900 N. KINGSBURY STREET UNIT 967, CHICAGO, IL 60610
(773) 531-6923
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209012324
IL
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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