Shank, Justin Lee

Shank, Justin Lee is an individual health care provider with primary practice located at 9550 W 167Th St , Orland Park IL 60467-5561. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Shank, Justin Lee can be contacted via phone (708) 873-4500.

Contact Information

Primary practice address
9550 W 167Th St Orland Park IL 60467-5561
Phone: (708) 873-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085006303 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006303 Illinois

Profile Details

NPI number 1598280463
LBN Legal business name Shank, Justin Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2017
Last updated Sep 12th, 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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