Individual
SHANNON MARIE GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2202 ESSINGTON RD, SUITE 101, JOLIET, IL 60435-1634
(815) 676-5310
Mailing address
2202 ESSINGTON RD, SUITE 101, JOLIET, IL 60435-2426
(815) 676-5310
(815) 725-1321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
08500306
IL
Other
Enumeration date
10/17/2007
Last updated
08/03/2016
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