Individual provider · Type 1 NPI

Roger Sebastian Shinnerl, MD

Vascular Surgery Physician · Carbondale, IL

NPI number 1760684765 Active

Practice location

305 W Jackson St Ste 206
Carbondale, IL 62901-1474

Fax (618) 457-3032

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X01063822A (IN)
Vascular Surgery Physician Primary 2086S0129X036166938 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

19 other providers at this address

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About NPI 1760684765

Roger Sebastian Shinnerl, MD's National Provider Identifier is 1760684765, issued on Jun 1, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Carbondale, IL. The record was last updated on Sep 29, 2026.