Individual
DENNIS SHIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 DR WARREN TUTTLE DRIVE, HARRISBURG, IL 62946
(618) 253-7671
(618) 253-7104
Mailing address
100 DR WARREN TUTTLE DRIVE, HARRISBURG, IL 62946
(618) 253-7671
(618) 253-7104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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