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Individual

SHEILA M DEGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, APN

Contact information

Practice address
351 DELNOR DR STE 302, GENEVA, IL 60134-4233
(630) 232-0280
(630) 232-3895
Mailing address
351 DELNOR DR STE 302, GENEVA, IL 60134-4233
(630) 232-0280
(630) 232-3895

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005158
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206147
MEDICARE PTAN (GROUP)
IL
01
CA4748
MEDICARE RAILROAD PTAN (GROUP)
IL
01
MC1223205
DRA
IL
01
P01093138
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
01
T01891
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
05/22/2007
Last updated
11/08/2024
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