Individual
SHANIKA M EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
430 WARRENVILLE RD STE 300, LISLE, IL 60532-1348
(630) 364-7850
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-8964
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022373
IL
363LF0000X
Family Nurse Practitioner
209.022373
IL
Other
Enumeration date
02/05/2021
Last updated
03/04/2021
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