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Individual

DR. DANE JEFFREY SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
17 N WABASH AVE STE 678, CHICAGO, IL 60602
(312) 782-9153
Mailing address
930 HASSELL RD, HOFFMAN ESTATES, IL 60169-2602
(312) 782-9153

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.056894
IL

Other

Enumeration date
01/30/2007
Last updated
08/12/2019
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