KEVIN JUDE SHANAHAN

MELROSE PARK, IL
NPI1891443693
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085009116)
Enumeration Date2022-03-11
Last Update Date2022-09-19
Business Address
KEVIN JUDE SHANAHAN
8321 W NORTH AVE
MELROSE PARK, IL 60160-1669
Phone number: 708-681-2298
Mailing Address
KEVIN JUDE SHANAHAN
8321 W NORTH AVE
MELROSE PARK, IL 60160-1669
Phone number: 708-681-2298
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