Shanes, Elisheva Douglas
Shanes, Elisheva Douglas is an sole proprietor health care provider with primary practice located at 710 N Fairbanks Ct Ste 2-461 , Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Shanes, Elisheva Douglas can be contacted via phone (312) 926-3212.Contact Information
Primary practice address
710 N Fairbanks Ct Ste 2-461
Chicago IL 60611
Phone: (312) 926-3212
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 036146153 | Illinois |
Profile Details
NPI number | 1821403569 |
---|---|
LBN Legal business name | Shanes, Elisheva Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 20th, 2014 |
Last updated | Oct 18th, 2019 - about 6 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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