Shallcross, Diane Marie

Shallcross, Diane Marie is an individual health care provider with primary practice located at 7480 W College Dr Ste 203 , Palos Heights IL 60463-1195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shallcross, Diane Marie can be contacted via phone (708) 361-0540.

Contact Information

Primary practice address
7480 W College Dr Ste 203 Palos Heights IL 60463-1195
Phone: (708) 361-0540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.024336 Illinois

Profile Details

NPI number 1629736285
LBN Legal business name Shallcross, Diane Marie
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2021
Last updated Feb 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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