Individual
DR. MEGAN MARIE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036098061
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-098061
—
IL
01
—
336-058540
CONTROLLED SUBSTANCE
IL
Enumeration date
06/03/2006
Last updated
04/01/2021
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