Mancuso, Shayna

Mancuso, Shayna is an individual health care provider with primary practice located at 660 N Westmoreland Rd , Lake Forest IL 60045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mancuso, Shayna can be contacted via phone (847) 535-6352.

Contact Information

Primary practice address
660 N Westmoreland Rd Lake Forest IL 60045
Phone: (847) 535-6352
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-112082 Illinois

Profile Details

NPI number 1558394510
LBN Legal business name Mancuso, Shayna
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Oct 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558394510 NPPES
Illinois MEDICAID 036112082

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