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Michael Shane Hennesy, MD
Obstetrics & Gynecology Physician in Urbana, Illinois
NPI 1932194016

Michael Shane Hennesy is a Obstetrics & Gynecology Physician based in Urbana, IL. Michael Shane Hennesy practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Michael Shane Hennesy is 1932194016 and holds a License No. 40865 (Illinois).

The current practice location address for Michael Shane Hennesy is 602 W University Ave, Urbana, IL and can be reached out via phone at 217-383-3140 and via fax at 217-383-4966.

Location: 602 W University Ave, Urbana, IL, 61803-6002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932194016
Provider Name
Michael Shane Hennesy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
602 W University Ave, Urbana, IL, 61803-6002
Phone Number
217-383-3140
Fax Number
217-383-4966
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67635521 05 CO
72507560 05 CO
institution
Provider Business Practice Location Address Details
Address
602 W University Ave
City
Urbana
State
Illinois
Zip
61801-2530
Phone Number
217-383-3140
Fax Number
217-383-4966
person
Provider Business Mailing Address Details
Address
602 W University Ave
City
Urbana
State
Illinois
Zip
61801-2530
Phone Number
217-383-3140
Fax Number
217-383-4966
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
40865 (Colorado)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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