Individual
DR. BRYANT SHANE HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-6169
Mailing address
441 E ERIE ST, APT 2208, CHICAGO, IL 60611-4446
(713) 818-5069
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
036133109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IL
Enumeration date
06/23/2010
Last updated
12/21/2021
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