Individual
NINA SHUMATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 SIMMS ST, AURORA, IL 60504-4701
(773) 332-2665
Mailing address
1723 SIMMS ST STE 202, AURORA, IL 60504-4703
(773) 332-2665
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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