Individual
SHAYLYNN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 STEVENSON DR, SPRINGFIELD, IL 62703-4225
(217) 679-7937
(217) 679-5923
Mailing address
1305 STEVENSON DR, SPRINGFIELD, IL 62703-4225
(217) 679-7937
(217) 679-5923
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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