MARY JANE SHANE-COX

PEORIA, IL
NPI1881709566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209000844)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
-- MARY JANE SHANE-COX NP
411 HAMILTON BLVD SUITE 1824
PEORIA, IL 61602-1144
Phone number: 309-494-9320
Mailing Address
-- MARY JANE SHANE-COX NP
10335 N PORT WASHINGTON RD 250
MEQUON, WI 53092-5763
Phone number: