Mctague, Shane Gerald

Mctague, Shane Gerald is an individual health care provider with primary practice located at 4555 N Lincoln Ave , Chicago IL 60625-2102. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mctague, Shane Gerald can be contacted via phone (815) 217-4964.

Contact Information

Primary practice address
4555 N Lincoln Ave Chicago IL 60625-2102
Phone: (815) 217-4964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038.014073 Illinois

Profile Details

NPI number 1497529218
LBN Legal business name Mctague, Shane Gerald
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2023
Last updated Nov 13th, 2023 - about 3 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.

Request for update

Popular Providers