Individual
DR. CLAYTON SHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Mailing address
3100 BIRMINGHAM DR, GLEN CARBON, IL 62034-3059
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209021336
IL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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