Individual
MRS. SHANELL RENA GLADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4615 CORREL AVE, BARTONVILLE, IL 61607-2618
(309) 453-0688
(309) 324-5977
Mailing address
4615 CORREL AVE, BARTONVILLE, IL 61607-2618
(309) 453-0688
(309) 324-5977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
04105255
IL
163W00000X
Registered Nurse
RN233341
AZ
2084N0400X
Neurology Physician
23341
AZ
2084P0800X
Psychiatry Physician
Primary
209031579
IL
Other
Enumeration date
03/10/2020
Last updated
11/16/2025
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