Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDELLE BUTLER SHANE, MSW BCD LCSW
Active Sole ProprietorIDELLE BUTLER SHANE, MSW BCD LCSW is a Specialist healthcare provider located in GALESBURG, Illinois. NPI 1275663114 is currently active in the NPPES registry. Verify at CMS.
Specialist · GALESBURG, IL
Registration Details
- NPI Number
- 1275663114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2007 (19.478802580399 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
311 E MAIN ST STE 604GALESBURG, IL, 614014882Browse IL providers · Browse ZIP 61401
- Phone
- 3093412727
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in GALESBURG, IL
| Name | Credential | NPI |
|---|---|---|
| DR. WARREN MATTHEW WILKINS | M.D. | 1255429494 |
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.