Individual
SHANNON THOELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036174465
IL
2084P0800X
Psychiatry Physician
R12071
IA
Other
Enumeration date
05/25/2021
Last updated
06/27/2025
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