Individual
SHELLY JO REITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1701 W. CURTIS, CHAMPAIGN, IL 61822-9678
(217) 365-6203
Mailing address
PO BOX 6002, NCW4, URBANA, IL 61803-6002
(217) 383-6792
(217) 623-2856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001205
IL
Other
Enumeration date
03/01/2006
Last updated
07/02/2025
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