Shanklin, Traci

Shanklin, Traci is an individual health care provider with primary practice located at 1890 Silver Cross Blvd St 350, New Lenox IL 60451-9524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shanklin, Traci can be contacted via phone (815) 717-8737.

Contact Information

Primary practice address
1890 Silver Cross Blvd St 350 New Lenox IL 60451-9524
Phone: (815) 717-8737
Fax: (815) 717-8699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010966 Illinois

Profile Details

NPI number 1245661750
LBN Legal business name Shanklin, Traci
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2013
Last updated Mar 10th, 2014 - about 10 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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