Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE RAINEY, D.O.
Active Sole ProprietorDR. SHANE RAINEY, D.O. is a Pediatrics healthcare provider located in PEORIA, Illinois. NPI 1588041164 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PEORIA, IL
Registration Details
- NPI Number
- 1588041164
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2015 (11.241862123898 yrs)
- Last Updated
- Jan 7, 2019
- License
-
036.144466 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616370001Browse IL providers · Browse ZIP 61637
- Phone
- 3096552274
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LORI ELIZABETH SIMENAUER | M.D. | 1780670794 |
| JALAYNE M LAPKE | MD | 1508837758 |
| DR. ALLEN LYNN NEESE | M.D., PH.D. | 1841261872 |
| DR. HEATHER LEE DOEBLER MCCARTHY | D.O. | 1306819289 |
| HEATHER MCLAUCHLAN | MD | 1356319479 |
| CHANNING PETRAK | MD | 1952370538 |
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.