Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMICA SHANTA LIGHT
Active Sole ProprietorDOMICA SHANTA LIGHT is a Case Management Agency healthcare provider located in CHAMPAIGN, Illinois. NPI 1972890499 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1972890499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2011 (15.08476253721 yrs)
- Last Updated
- Jul 5, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
202 W PARK AVECHAMPAIGN, IL, 618203929Browse IL providers · Browse ZIP 61820
- Phone
- 2173732430
- Primary Specialty
-
Case Management Agency
251B00000X
Other Case Management Agency Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KELLY NICOLE BEISSER | MSW | 1902162068 |
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.