Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROSELYN SHINE
Active Sole ProprietorROSELYN SHINE is a Community/Behavioral Health healthcare provider located in PARK FOREST, Illinois. NPI 1962888511 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · PARK FOREST, IL
Registration Details
- NPI Number
- 1962888511
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2015 (11.062801544701 yrs)
- Last Updated
- Aug 5, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
153 NANTI STPARK FOREST, IL, 604662529Browse IL providers · Browse ZIP 60466
- Phone
- 7087437011
- Fax
- 7085063900
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.