| Doctor Name: | MARYANN SHELUGA |
| NPI Number: | 1164697678 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 085-002314 |
| Business Practice Address: | 460 Briargate Dr Suite 150 South Elgin, IL - 601772227 |
| Business Phone Number: | 8476979100 |
| Business Fax Number: | 8476975105 |
| Mailing Address: | 460 Briargate Dr, Suite 150 SOUTH ELGIN |
| State: | IL |
| Postal Code: | 601772227 |
| Phone Number: | 8476979100 |
| Fax Number: | 8476975105 |
| NPI Enumeration Date: | 04/25/2008 |
| NPI Last Update Date: | 04/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085-002314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |