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Dr. Brian Patrick Shortal, MD
Cardiovascular Disease Physician in Bannockburn, Illinois
NPI 1356331961

Brian Patrick Shortal is a Cardiovascular Disease Physician based in Bannockburn, IL and is specialized in Cardiovascular Disease. Brian Patrick Shortal practices in Bannockburn, IL and has the professional credentials of MD. The NPI Number for Brian Patrick Shortal is 1356331961 and holds a License No. 036-111585 (Illinois).

The current practice location address for Brian Patrick Shortal is 2151 Waukegan Rd, Bannockburn, IL and can be reached out via phone at 847-444-5328 and via fax at 847-267-0694.

Location: 2151 Waukegan Rd, Bannockburn, IL, 60015-1885
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356331961
Provider Name
Brian Patrick Shortal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2151 Waukegan Rd, Bannockburn, IL, 60015-1885
Phone Number
847-444-5328
Fax Number
847-267-0694
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04915267 01 IL BLUE CROSS BLUE SHIELD
36111585 05 IL
institution
Provider Business Practice Location Address Details
Address
2151 Waukegan Rd
City
Bannockburn
State
Illinois
Zip
60015-1885
Phone Number
847-444-5328
Fax Number
847-267-0694
person
Provider Business Mailing Address Details
Address
2151 Waukegan Rd
City
Bannockburn
State
Illinois
Zip
60015-1885
Phone Number
847-444-5328
Fax Number
847-267-0694
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036-111585 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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