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

SHANNON ROSENBROCK, PA

Active Sole Proprietor

SHANNON ROSENBROCK, PA is a Physician Assistant healthcare provider located in BEECHER, Illinois. NPI 1427627132 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BEECHER, IL

Registration Details

NPI Number
1427627132
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2021 (5.1303229534896 yrs)
Last Updated
Oct 21, 2021
Sole Proprietor
Yes

Practice Information

Address
657 PASADENA AVE
BEECHER, IL, 604013611
Browse IL providers · Browse ZIP 60401
Phone
8156719279
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
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.