Kevin Jude Shanahan is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kevin Jude Shanahan NPI is 1891443693. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10206 S ARTESIAN AVE
CHICAGO, IL
ZIP 60655-050
Phone: (773) 870-5724
The enumeration date for this NPI number is 3/11/2022 and was last updated on 3/11/2022.