Staley, Shannon Eileen

Staley, Shannon Eileen is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Staley, Shannon Eileen can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1447
Phone: (773) 702-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125056477 Illinois

Profile Details

NPI number 1962738856
LBN Legal business name Staley, Shannon Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2009
Last updated Dec 29th, 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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