DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOSEPH SHANAHAN, MD

Active Sole Proprietor

Family Medicine · GLENDALE HEIGHTS, IL

Registration Details

NPI Number
1164471934
Provider Type
Individual
Gender
Male
NPI Issued
May 9, 2006 (20.001948179298 yrs)
Last Updated
Apr 26, 2013
License
36057774 (IL)
Sole Proprietor
Yes

Practice Information

Address
701 WINTHROP AVE
GLENDALE HEIGHTS, IL, 601391405
Browse IL providers · Browse ZIP 60139
Phone
6305455700
Fax
6305455784
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GLENDALE HEIGHTS, IL

Name Credential NPI
DR. KATHLEEN TALAMAYAN MD, MPH 1770796609
JAMES MICHAEL WINGER MD 1083827802
DR. FAZAL MOHAMMAD M.D. 1043414097
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.