Individual
KARA A SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 62704-7401
(217) 862-0800
(217) 862-0202
Mailing address
3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 62704-7401
(217) 862-0800
(217) 862-0202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.164576
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.164579
MD LICENSE
IL
Enumeration date
04/15/2020
Last updated
10/11/2023
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