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
Phone: (847) 618-4177
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003955618 | NPPES |
Illinois | MEDICAID | 036112847 |
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