TRACI SHANKLIN

NEW LENOX, IL
NPI1245661750
Former NameTRACI SHIVERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209010966)
Enumeration Date2013-12-09
Last Update Date2014-03-10
Business Address
-- TRACI SHANKLIN N.P.
1890 SILVER CROSS BLVD ST 350
NEW LENOX, IL 60451-9524
Phone number: 815-717-8737
Mailing Address
-- TRACI SHANKLIN N.P.
1507 BELLEVIEW AVE
ROCKDALE, IL 60436-2428
Phone number: 815-603-5319
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