Individual
DR. JEAN SHLYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 DUNDEE RD STE 215, NORTHBROOK, IL 60062-2432
(847) 390-8550
(847) 390-9095
Mailing address
3000 DUNDEE RD STE 215, NORTHBROOK, IL 60062-2432
(847) 390-8550
(847) 390-9095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064733
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064733
—
IL
01
—
31620794
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/28/2006
Last updated
04/06/2011
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