Individual
DR. SHAWN P MALLADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
(217) 442-0119
Mailing address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
(217) 442-0119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008619
IL
Other
Enumeration date
12/27/2005
Last updated
10/09/2014
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