Shanes, Elisheva Douglas

Shanes, Elisheva Douglas is an sole proprietor health care provider with primary practice located at 710 N Fairbanks Ct Ste 2-461 , Chicago IL 60611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Shanes, Elisheva Douglas can be contacted via phone (312) 926-3212.

Contact Information

Primary practice address
710 N Fairbanks Ct Ste 2-461 Chicago IL 60611
Phone: (312) 926-3212
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 036146153 Illinois

Profile Details

NPI number 1821403569
LBN Legal business name Shanes, Elisheva Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2014
Last updated Oct 18th, 2019 - about 7 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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