JERALDENE SHAFFER

CRESTWOOD, IL
NPI1831120104
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209002901)
Enumeration Date2006-07-05
Last Update Date2007-07-08
Business Address
-- JERALDENE SHAFFER NP
14255 CICERO AVE
CRESTWOOD, IL 60445-2154
Phone number: 708-371-0400
Mailing Address
-- JERALDENE SHAFFER NP
2354 W NORFOLK RD
CRETE, IL 60417-9788
Phone number: 708-748-2260