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Dr. Jeffrey Shanes, MD
Interventional Cardiology Physician in Melrose Park, Illinois
NPI 1740236835

Jeffrey Shanes is a Interventional Cardiology Physician based in Melrose Park, IL and is specialized in Interventional Cardiology. Jeffrey Shanes practices in Melrose Park, IL and has the professional credentials of MD. The NPI Number for Jeffrey Shanes is 1740236835 and holds a License No. 036-064782 (Illinois).

The current practice location address for Jeffrey Shanes is 675 W North Ave, Melrose Park, IL and can be reached out via phone at 708-838-1448 and via fax at 708-344-0508.

Location: 675 W North Ave, Melrose Park, IL, 60160-1634
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Provider Profile Details
NPI Number
1740236835
Provider Name
Jeffrey Shanes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
675 W North Ave, Melrose Park, IL, 60160-1634
Phone Number
708-838-1448
Fax Number
708-344-0508
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110032830 01 IL RAILROAD MEDICARE INDIVIDUAL PROVIDER ID NUMBER
216577 01 IL MEDICARE GROUP PTAN FOR LOCALITY 015
1164530713 01 IL GROUP NPI NUMBER FOR CONSULTANTS IN CARDIOVASCULAR MEDICINE S C
31602469 01 IL BLUECROSS BLUE SHIELD GROUP PROVIDER NUMBER
036-064782 05 IL
K51366 01 IL MEDICARE INDIVIDUAL PTAN FOR LOALITY 015
209712 01 IL MEDICARE GROUP NUMBER
961280 01 IL MEDICARE GROUP NUMBER FOR CONSULTANTS IN CARDIOVASCULAR MEDICINE, S.C.
L18915 01 IL MEDICARE PTAN NUMBER
CC1592 01 IL RAILROAD MEDICARE GROUP PTAN NUMBER
institution
Provider Business Practice Location Address Details
Address
675 W North Ave
City
State
Zip
60160-1634
Phone Number
708-838-1448
Fax Number
708-344-0508
person
Provider Business Mailing Address Details
Address
675 W North Ave
City
State
Zip
60160-1634
Phone Number
708-838-1448
Fax Number
708-344-0508
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
036-064782 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
License No.
036-064782 (Illinois)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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