Individual
VICTORIA LYN SHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
10559 S LAWNDALE AVE, CHICAGO, IL 60655-3228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041402438
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209018889
IL
Other
Enumeration date
07/26/2018
Last updated
03/11/2019
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