Shepard, Alan G

Shepard, Alan G is an individual health care provider with primary practice located at 259 E Erie St Suite 2330, Chicago IL 60611-2987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shepard, Alan G can be contacted via phone (312) 926-6000.

Contact Information

Primary practice address
259 E Erie St Suite 2330 Chicago IL 60611-2987
Phone: (312) 926-6000
Fax: (312) 926-5971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036083933 Illinois

Profile Details

NPI number 1245223767
LBN Legal business name Shepard, Alan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 16th, 2016 - about 9 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 1245223767 NPPES
Illinois Other 130010332 RR MEDICARE
Illinois MEDICAID 036083933 RR MEDICARE

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