| Shanahan & Cheung D.d.s., P.c. | |
|
3941 75th St Suite 103 Aurora IL 60504-7913 | |
| (630) 375-8380 | |
| Not Available |
| Full Name | Shanahan & Cheung D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3941 75th St, Aurora, Illinois |
| Authorized Official Name and Position | Jeffrey Cheung (PRESIDENT) |
| Authorized Official Contact | 6303758380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanahan & Cheung D.d.s., P.c. 3941 75th St Suite 103 Aurora IL 60504-7913 Ph: (630) 375-8380 | Shanahan & Cheung D.d.s., P.c. 3941 75th St Suite 103 Aurora IL 60504-7913 Ph: (630) 375-8380 |
| NPI Number | 1407051766 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407051766 | NPI | - | NPPES |
| 019026808 | Other | IL | IL DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019019174 (Illinois) | Secondary |
| 122300000X | Dentist | 019026808 (Illinois) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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