Organization
SHANELL'S PSYCHIATRY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL GLADSON (PRESIDENT)
(309) 229-0799
Entity
Organization
Contact information
Practice address
4615 CORREL AVE, BARTONVILLE, IL 61607-2618
(833) 221-4169
Mailing address
8420 N KNOXVILLE AVE STE C, PEORIA, IL 61615-2032
(309) 229-0799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
11/13/2025
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