Individual
CHASITY M. GUSHULAK-ST AMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
FNP STUDENT
Contact information
Practice address
4643 HAPPINESS TRL, ROCK ISLAND, IL 61201-0004
(563) 508-8372
Mailing address
500 WILCOX ST, JOLIET, IL 60435-6188
(563) 508-8372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041495784
IL
163W00000X
Registered Nurse
116531
IA
Other
Enumeration date
02/16/2026
Last updated
04/17/2026
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