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1962738856
SHANNON EILEEN STALEY
CHICAGO, IL
NPI
1962738856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 125056477)
Enumeration Date
2009-10-27
Last Update Date
2021-12-29
Business Address
Dr. SHANNON EILEEN STALEY M.D.
5841 S MARYLAND AVE
CHICAGO, IL 60637-1447
Phone number: 773-702-1000
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Mailing Address
Dr. SHANNON EILEEN STALEY M.D.
1727 N HERMITAGE AVE APT #2
CHICAGO, IL 60622-1411
Phone number: 708-363-1328
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