Individual
DR. KIRK VAN SHEPARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
3000 N HALSTED ST STE 400, CHICAGO, IL 60657-8480
(773) 296-5500
Mailing address
3000 N HALSTED ST STE 400, CHICAGO, IL 60657-8480
(773) 296-5500
(773) 296-3800
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036.151294
IL
207R00000X
Internal Medicine Physician
036.151294
IL
Other
Enumeration date
03/28/2014
Last updated
07/22/2020
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