SHINA KEAONIS GORDON

DOWNERS GROVE, IL
NPI1295197697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  277-002521)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209013602)
Enumeration Date2016-03-24
Last Update Date2024-10-02
Business Address
SHINA KEAONIS GORDON FNP
1341 WARREN AVE
DOWNERS GROVE, IL 60515-3437
Phone number: 630-719-5454
Mailing Address
SHINA KEAONIS GORDON FNP
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900