Shi, Shannon

Shi, Shannon is an individual health care provider with primary practice located at 1335 N Mill St Ste 100, Naperville IL 60563-2261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Shi, Shannon can be contacted via phone (630) 646-8000.

Contact Information

Primary practice address
1335 N Mill St Ste 100 Naperville IL 60563-2261
Phone: (630) 646-8000
Fax: (630) 646-8007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036111685 Illinois

Profile Details

NPI number 1780633271
LBN Legal business name Shi, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 16th, 2021 - 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 1780633271 NPPES
Illinois MEDICAID 036111685 1
Illinois Other 2220936

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