Individual
SHAILAR KRISTINE WEBBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 LUTHER LN, PARK RIDGE, IL 60068-1270
(847) 723-7306
(847) 723-2333
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009893
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2023
Last updated
10/02/2023
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