MICHAEL SHANE HENNESY

URBANA, IL
NPI1932194016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CO  40865)
Enumeration Date2005-09-15
Last Update Date2013-08-13
Business Address
-- MICHAEL SHANE HENNESY MD
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3140
Mailing Address
-- MICHAEL SHANE HENNESY MD
PO BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8630
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