Shanley, John A

Shanley, John A is an individual health care provider with primary practice located at 800 W Central Rd , Arlington Heights IL 60005-2349. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Shanley, John A can be contacted via phone (847) 618-4177.

Contact Information

Primary practice address
800 W Central Rd Arlington Heights IL 60005-2349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036112847 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036-112847 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-112847 Illinois

Profile Details

NPI number 1003955618
LBN Legal business name Shanley, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated May 7th, 2014 - about 11 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 1003955618 NPPES
Illinois MEDICAID 036112847

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