Provider Demographics
NPI:1144751421
Name:SHANDLEY, LISA MAUREEN (MD, MSC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MAUREEN
Last Name:SHANDLEY
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1585 N BARRINGTON RD
Mailing Address - Street 2:DOCTORS BUILDING TWO, SUITE 406
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-5020
Mailing Address - Country:US
Mailing Address - Phone:847-884-8884
Mailing Address - Fax:
Practice Address - Street 1:1585 N BARRINGTON RD
Practice Address - Street 2:DOCTORS BUILDING TWO, SUITE 406
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-5020
Practice Address - Country:US
Practice Address - Phone:847-884-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.170335207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology