Whalio Doctors

NPI 1073042727

Shawn Ashley Kacker, DO

Practitioner Neurology Physician Park Ridge, IL

Practice location

Address
1675 Dempster St Fl 3, Park Ridge, IL 60068-1110
Phone
(847) 318-9330
Mailing address
29373 Network Pl, Chicago, IL 60673-1293

Registered specialties (3)

Neurology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 036-159149 (IL)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 125070942 (IL)
Neurology with Special Qualifications in Child Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 036159149 (IL)

Registry record

NPI
1073042727
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jun 2017
Record last updated
21 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.