Individual
PETER ALEX SHIREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 902-3937
(217) 902-7757
Mailing address
N5988 ALEXANDER LN, FOND DU LAC, WI 54937-7106
(920) 933-9962
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147002009
IL
231H00000X
Audiologist
—
—
Other
Enumeration date
04/24/2023
Last updated
01/03/2025
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