Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 125.077381 | IL |
Y | 208600000X | Surgeon | 125.077381 | IL |
NPI | 1013543297 |
---|---|
Provider Name | Dr. Rachyl Morgan Shanker |
First Address | North Chicago, IL 60064-3037 |
Second Address | Maywood, IL 60153-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2020 |
Last Update Date | 16/10/2021 |