person
Ismaeel Shanshal
Dentist Anesthesiologist in Chicago, Illinois
NPI 1487174124

Ismaeel Shanshal is a Dentist Anesthesiologist based in Chicago, IL and is specialized in Dentist Anesthesiologist. Ismaeel Shanshal practices in Chicago, IL. The NPI Number for Ismaeel Shanshal is 1487174124 and holds a License No. 019.031284 (Illinois).

The current practice location address for Ismaeel Shanshal is 811 W Wellington Ave, Chicago, IL and can be reached out via phone at 773-871-2188.

Location: 811 W Wellington Ave, Chicago, IL, 60612-3723
person
Provider Profile Details
NPI Number
1487174124
Provider Name
Ismaeel Shanshal
Credential
Provider Entity Type
Individual
Gender
Male
Address
811 W Wellington Ave, Chicago, IL, 60612-3723
Phone Number
773-871-2188
Fax Number
Provider Enumeration Date
06/23/2017
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
811 W Wellington Ave
City
State
Zip
60657-5123
Phone Number
773-871-2188
Fax Number
person
Provider Business Mailing Address Details
Address
811 W Wellington Ave
City
State
Zip
60657-5123
Phone Number
773-871-2188
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
License No.
019.031284 (Illinois)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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