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1821403569
ELISHEVA DOUGLAS SHANES
CHICAGO, IL
NPI
1821403569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0101X Pathology Anatomic Pathology
(Licence: IL 036146153)
Enumeration Date
2014-06-20
Last Update Date
2019-10-18
Business Address
ELISHEVA DOUGLAS SHANES M.D.
710 N FAIRBANKS CT STE 2-461
CHICAGO, IL 60611
Phone number: 312-926-3212
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Mailing Address
ELISHEVA DOUGLAS SHANES M.D.
710 N FAIRBANKS CT STE 2-461
CHICAGO, IL 60611-3013
Phone number: 312-926-3212
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