Individual
KRISTIN WARNER SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
6141 N CICERO AVE, CHICAGO, IL 60646-4303
(773) 293-8788
(773) 293-8791
Mailing address
2740 W FOSTER AVE, STE 310, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013832
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209.013832
IL
363LF0000X
Family Nurse Practitioner
209.013832
IL
Other
Enumeration date
05/20/2016
Last updated
05/07/2026
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