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1558750026
ANNA BALABANOVA SHANNAHAN
CHICAGO, IL
NPI
1558750026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.114607)
Enumeration Date
2015-01-21
Last Update Date
2019-07-11
Business Address
Dr. ANNA BALABANOVA SHANNAHAN M.D.
150 E HURON ST STE 1100
CHICAGO, IL 60611-2948
Phone number: 312-926-0896
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Mailing Address
Dr. ANNA BALABANOVA SHANNAHAN M.D.
1475 E BELVIDERE RD SUITE 385
GRAYSLAKE, IL 60030-2012
Phone number: 847-535-7157
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