Individual
LYNDA A SHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-7740
(815) 599-7983
Mailing address
PO BOX 268, FREEPORT, IL 61032-0268
(815) 599-7950
(815) 599-7974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016073
IL
Other
Enumeration date
07/07/2017
Last updated
11/02/2017
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