John Jay Shannon in Chicago - Internal Medicine
John Jay Shannon - NPI 1104845734
John Jay Shannon is a Internal Medicine in Chicago, Illinois. John Jay Shannon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Jay Shannon is 1104845734. The last update date is 2017-03-03.
John Jay Shannon's current location address is 1900 W Polk St, Chicago, Illinois. You can contact this provider via phone number 3128645504 and fax number 3128649994. The mailing address for John Jay Shannon is 1900 W Polk St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Jay Shannon |
|---|---|
| Address | 1900 W Polk St, Chicago, Illinois |
| Phone Number | 3128645504 |
| Fax Number | 3128649994 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104845734 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2017-03-03 |
Provider Mailing Address Detail
| Address | 1900 W Polk St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123723 |
| Phone Number | 3128645504 |
| Fax Number | 3128649994 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36079704 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the John Jay Shannon's unique identification number?
The John Jay Shannon has been assigned the NPI (National Provider Identifier) Number 1104845734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John Jay Shannon's physical address?
The John Jay Shannon is physically located at 1900 W Polk St, in the city of Chicago, IL, with the postal code 606123723.
What is John Jay Shannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Jay Shannon is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
When did the John Jay Shannon receive its 1104845734?
The John Jay Shannon was issued its 1104845734 on 2006-07-18, which is the date when the organization was assigned this unique identifier.
As of what date were the John Jay Shannon's details last updated?
The information pertaining to the John Jay Shannon, including its address, specialty, and other details, was most recently updated on 2017-03-03.