Mann, Shelly

Mann, Shelly is an individual health care provider with primary practice located at 1170 E Belvedere Rd #106 , Grayslake IL 60030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mann, Shelly can be contacted via phone (847) 548-7337.

Contact Information

Primary practice address
1170 E Belvedere Rd #106 Grayslake IL 60030
Phone: (847) 548-7337
Fax: (847) 548-9909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036106369 Illinois

Profile Details

NPI number 1194719211
LBN Legal business name Mann, Shelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Dec 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194719211 NPPES
Virginia MEDICAID 006726984
Virginia MEDICAID 036106369

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