Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAWN ASHLEY KACKER, DO
ActiveDR. SHAWN ASHLEY KACKER, DO is a Neurology healthcare provider located in PARK RIDGE, Illinois. NPI 1073042727 is currently active in the NPPES registry. Verify at CMS.
Neurology · PARK RIDGE, IL
Registration Details
- NPI Number
- 1073042727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2017 (9.2335227779299 yrs)
- Last Updated
- Aug 21, 2024
- Licenses
-
125070942 (IL)036159149 (IL)036-159149 (IL)
Practice Information
- Address
-
1675 DEMPSTER ST FL 3PARK RIDGE, IL, 600681110Browse IL providers · Browse ZIP 60068
- Phone
- 8473189330
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
- Additional Specialty
- Neurology
Other Neurology Providers in PARK RIDGE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID P CALIMAG | MD | 1447231154 |
| PRASHANTHI BOPPANA | MD | 1588630727 |
| IAN S KATZNELSON | M.D. | 1194779082 |
| WILLIAM DAVISON | M.D. | 1982659413 |
| DR. SMRITI N WAGLE | D.O. | 1942241302 |
| DR. TIMOTHY JOHN MIKESELL | D.O. | 1811933757 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.