| Robert J. Shanahan D.d.s., Ltd. | |
|
6686 Joliet Road Indian Head Park IL 60525 | |
| (708) 783-1100 | |
| (708) 783-1101 |
| Full Name | Robert J. Shanahan D.d.s., Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6686 Joliet Road, Indian Head Park, Illinois |
| Authorized Official Name and Position | Robert J Shanahan (PRESIDENT) |
| Authorized Official Contact | 7087831100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Shanahan D.d.s., Ltd. 6686 Joliet Rd Indian Head Park IL 60525 Ph: (708) 783-1100 | Robert J. Shanahan D.d.s., Ltd. 6686 Joliet Road Indian Head Park IL 60525 Ph: (708) 783-1100 |
| NPI Number | 1366683898 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 03/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366683898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19013677 (Illinois) | Primary |