Individual
JACKLEEN G SHUMEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8653 N NATIONAL AVE, NILES, IL 60714-2136
(224) 766-1743
Mailing address
8653 N NATIONAL AVE, NILES, IL 60714-2136
(224) 766-1743
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209035525
IL
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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