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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAUNTRESE PORCH, RN

Active Sole Proprietor

SHAUNTRESE PORCH, RN is a Registered Nurse healthcare provider located in EVERGREEN PARK, Illinois. NPI 1275349862 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · EVERGREEN PARK, IL

Registration Details

NPI Number
1275349862
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2024 (1.6473957827562 yrs)
Last Updated
Dec 9, 2024
License
041320318 (IL)
Sole Proprietor
Yes

Practice Information

Address
9149 S ALBANY AVE
EVERGREEN PARK, IL, 608051718
Browse IL providers · Browse ZIP 60805
Phone
7733207757
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in EVERGREEN PARK, IL

Name Credential NPI
MR. JEFFREY M MCMAHON ADN 1255779526
CONSWAYLLA JEAN BELL 1528593415
MELINDA LARNER DNP, APRN, FNP-C 1609655893
LASHONDA MARIE COX RN 1639959018
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.