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NPI Code Detail

MEDICARE: DR. ELIZABETH L SHANGLE M.D.

MEDICARE: DR. ELIZABETH L SHANGLE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianIL

General Provider Information

NPI Number : 1801886486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH L SHANGLE M.D.
Provider Business Mailing Address
First Line : 360 W BUTTERFIELD RD
Second Line : SUITE 250
City : ELMHURST
State : IL
Zip : 60126-5068
Country : US
Telephone Number : 630-832-4210
Fax Number : 630-832-8110
Provider Business Practice Location Address
First Line : 360 W BUTTERFIELD RD
Second Line : SUITE 250
City : ELMHURST
State : IL
Zip : 60126-5068
Country : US
Telephone Number : 630-832-4210
Fax Number : 630-832-8110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 10/30/2007

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