Individual
CAROLINE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
515 N STATE ST STE 900, CHICAGO, IL 60654-9104
(312) 245-9965
(312) 245-9964
Mailing address
515 N STATE ST STE 900, CHICAGO, IL 60654-9104
(312) 245-9965
(312) 245-9964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006350
IL
Other
Enumeration date
10/30/2017
Last updated
02/19/2020
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