Individual
SHELLY NAVATO CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12445 DORSETT RD, MARYLAND HEIGHTS, MO 63043-3907
(314) 343-4440
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125-068393
IL
Other
Enumeration date
05/17/2016
Last updated
10/09/2020
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