Shane, Michael Bryan

Shane, Michael Bryan is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave Mc 4028, Chicago IL 60637-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Shane, Michael Bryan can be contacted via phone (773) 702-6700.

Contact Information

Primary practice address
5841 S Maryland Ave Mc 4028 Chicago IL 60637-1447
Phone: (773) 702-6700
Fax: (773) 702-3535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 125054305 Illinois

Profile Details

NPI number 1225284888
LBN Legal business name Shane, Michael Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2008
Last updated Aug 14th, 2008 - about 16 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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