Individual
SHAUNA VANDERMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
(630) 568-3247
Mailing address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
(630) 568-3247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041449789
IL
363L00000X
Nurse Practitioner
Primary
209022383
IL
Other
Enumeration date
10/30/2020
Last updated
12/10/2020
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