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1245661750
TRACI SHANKLIN
NEW LENOX, IL
NPI
1245661750
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Former Name
TRACI SHIVERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209010966)
Enumeration Date
2013-12-09
Last Update Date
2014-03-10
Business Address
-- TRACI SHANKLIN N.P.
1890 SILVER CROSS BLVD ST 350
NEW LENOX, IL 60451-9524
Phone number: 815-717-8737
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Mailing Address
-- TRACI SHANKLIN N.P.
1507 BELLEVIEW AVE
ROCKDALE, IL 60436-2428
Phone number: 815-603-5319
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