Brian J Shaheen Md Sc

NPI 1336214584 - Family Medicine - 207Q00000X

NPI Details
NPI 1336214584
Enumeration Date 11/22/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRIAN J BRIAN
Position PRESIDENT
Phone (618) 244-2296
Fax (618) 244-0074
Practice Location
1104 S 42ND STREET
MOUNT VERNON IL, 62864-6216, US
Phone (618) 244-2296
Fax (618) 244-0074
Business Location
4227 LINCOLSHIRE DRIVE
MOUNT VERNON IL, 62864-2157, US
Phone (618) 242-2317
Fax (618) 242-9710
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Brian J Shaheen Md Sc NPI is 1336214584, taxonomy code is 207Q00000X Brian J Shaheen Md Sc physically located at 1104 S 42nd Street, Mount Vernon IL, 62864-6216. NPI Number 1033115704 has the healthcare provider type.

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1336214584 NPI number is provided on an as is basis without warranty of any kind. 1336214584 is maintained by the National Plan & Provider Enumeration System. The contents of Brian J Shaheen Md Sc are for informational purposes only.