Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tevyn Cole Shadlyn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053166447

Mr. Tevyn Cole Shadlyn, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 S Wood St Ste 100 MC 675
Chicago, IL 60612
Phone: (312) 996-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053166447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESNovember 5, 2024

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