Individual
SHANNON KAMPERSCHROER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(815) 212-1035
Mailing address
230 W DIVISION ST APT 1407, CHICAGO, IL 60610-7690
(815) 212-1035
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209026001
IL
Other
Enumeration date
10/17/2022
Last updated
01/27/2025
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