Search › Illinois › 363A00000X
Kevin Shanahan
NPI 1891443693 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8321 W North Ave
Melrose Park, IL 60160 - Phone
- (708) 681-2298
- Organisation at this address
- Melrose Pharmacy Inc
Access Community Health NetworkInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois