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1871535450
KARLA R SHIVELY
JOLIET, IL
NPI
1871535450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036091518)
Enumeration Date
2006-06-11
Last Update Date
2010-06-23
Business Address
-- KARLA R SHIVELY D.O.
330 MADISON ST SUITE 104
JOLIET, IL 60435-6565
Phone number: 815-725-3440
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Mailing Address
-- KARLA R SHIVELY D.O.
330 MADISON ST SUITE 104
JOLIET, IL 60435-6565
Phone number: 815-725-3440
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