Individual provider · Type 1 NPI

Shane Clausell

Specialist · Flossmoor, IL

NPI number 1437966975 Active

Practice location

1046 Sterling Ave
Flossmoor, IL 60422-1234

Mailing address

300 Park Ave Apt 439
Calumet City, IL 60409-5028

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1437966975

Shane Clausell's National Provider Identifier is 1437966975, issued on Dec 17, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Flossmoor, IL. The record was last updated on Dec 17, 2024.