SHAYNA MANCUSO

LAKE FOREST, IL
NPI1558394510
Former NameSHAYNA HOLLINGSWORTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IL  036-112082)
Enumeration Date2006-07-09
Last Update Date2020-10-30
Business Address
SHAYNA MANCUSO D.O.
660 N WESTMORELAND RD
LAKE FOREST, IL 60045
Phone number: 847-535-6352
Mailing Address
SHAYNA MANCUSO D.O.
811 S RIDGE RD
LAKE FOREST, IL 60045-2755
Phone number: 312-399-1732
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