Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY SHALLAT
ActivePediatrics · WASHINGTON, IL
Registration Details
- NPI Number
- 1184706988
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2006 (19.505103705781 yrs)
- Last Updated
- Nov 11, 2015
- License
-
036-101025 (IL)
Practice Information
- Address
-
10 SAINT CLARE CTWASHINGTON, IL, 615719239Browse IL providers · Browse ZIP 61571
- Phone
- 3098864000
- Fax
- 3098864118
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WASHINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| LYNESSA A ALONSO | D.O. | 1679665020 |
| JON BYLER | — | 1093897985 |
| RHETT MILLER | — | 1871675645 |
| SCOTT CARLSON | — | 1386726255 |
| DR. JAY TYLER ROHDE | MD | 1457671745 |
| SARAH ANDERSON JOSEPH | MD | 1881974541 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.