Shanley, Thomas P

Shanley, Thomas P is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Shanley, Thomas P can be contacted via phone (312) 227-4340.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611
Phone: (312) 227-4340
Fax: (312) 227-9637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301061940 Michigan
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 4301061940 Michigan

Profile Details

NPI number 1619983897
LBN Legal business name Shanley, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 27th, 2018 - about 8 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 1619983897 NPPES
Michigan MEDICAID 4638831

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