Individual
ALEXIS R SHIMBOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 RICHMOND AVE E STE B, MATTOON, IL 61938-4651
(217) 235-0800
Mailing address
225 RICHMOND AVE E STE B, MATTOON, IL 61938-4651
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020017455
IL
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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