SHELLY SHALLAT

WASHINGTON, IL
NPI1184706988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-101025)
Enumeration Date2006-10-20
Last Update Date2015-11-11
Business Address
-- SHELLY SHALLAT
10 SAINT CLARE CT
WASHINGTON, IL 61571-9239
Phone number: 309-886-4000
Mailing Address
-- SHELLY SHALLAT
320 E ARMSTRONG AVE
PEORIA, IL 61603-3172
Phone number: 309-680-7600
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