Individual
CHARLENE SHALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702-6700
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
209.005660
IL
207RI0011X
Interventional Cardiology Physician
277.001220
IL
363L00000X
Nurse Practitioner
209005660
IL
363L00000X
Nurse Practitioner
Primary
277.001220
IL
363LF0000X
Family Nurse Practitioner
209-005660
IL
363LF0000X
Family Nurse Practitioner
277.001220
IL
Other
Enumeration date
10/24/2006
Last updated
02/03/2022
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