Shanes, Jeffrey

Shanes, Jeffrey is an individual health care provider with primary practice located at 675 W North Ave Suite-210, Melrose Park IL 60160-1634. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shanes, Jeffrey can be contacted via phone (708) 838-1448.

Contact Information

Primary practice address
675 W North Ave Suite-210 Melrose Park IL 60160-1634
Phone: (708) 838-1448
Fax: (708) 344-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-064782 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-064782 Illinois

Profile Details

NPI number 1740236835
LBN Legal business name Shanes, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 21st, 2019 - about 5 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 1740236835 NPPES
Illinois Other 110032830 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other 216577 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other 1164530713 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other 31602469 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois MEDICAID 036-064782 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other K51366 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other 209712 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other 961280 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other L18915 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
Illinois Other CC1592 RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER

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