Individual
DR. CASEY GRANT SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1555 BARRINGTON RD, HOFFMAN ESTATES, IL 60169-1019
(847) 843-2000
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 836-7015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036124263
IL
Other
Enumeration date
07/04/2008
Last updated
02/09/2023
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