Individual
JILLIAN SHIRILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2801 W KK RIVER PKWY STE 330, MILWAUKEE, WI 53215-3669
(414) 649-1280
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199731
WI
363L00000X
Nurse Practitioner
Primary
14534
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268854
—
WI
Enumeration date
12/04/2015
Last updated
05/30/2024
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