Shanahan, Kevin Jude

Shanahan, Kevin Jude is an sole proprietor health care provider with primary practice located at 8321 W North Ave , Melrose Park IL 60160-1669. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shanahan, Kevin Jude can be contacted via phone (708) 681-2298.

Contact Information

Primary practice address
8321 W North Ave Melrose Park IL 60160-1669
Phone: (708) 681-2298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085009116 Illinois

Profile Details

NPI number 1891443693
LBN Legal business name Shanahan, Kevin Jude
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2022
Last updated Sep 19th, 2022 - about 2 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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