Michael James Shannon, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Practice address

702 Brougham LN
Oak Brook, IL 60523-2677

Phone

(630) 789-9319

Fax

(630) 789-9319

NPI assigned

Jan 23, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1326225160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BROUGHAM LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232677",
            "telephone_number": "630-789-9319",
            "fax_number": "630-789-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 BROUGHAM LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232677",
            "telephone_number": "630-789-9319",
            "fax_number": "630-789-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muzaffar Mohammed Shah-Khan, DDS, MPH
• Holly Shah, LPC
• Nikita Shah, OD
• Primitkumar P. Shah, P.T.
• Sumayya Shams, HIS
• Shared Vision Psychological Services (Shared Vision Psychological Services, dba Pediatric Psychology Assoc.)
• Henry Sharfaei, DDS
• Rajani Sharma
• Safwat Sharobeem, M.D.
• Mark E Sharp, PH.D.

• Diagnostic Radiology Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.