Individual
AQUILA SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP-C
Contact information
Practice address
736 W 95TH ST, CHICAGO, IL 60628-1063
(773) 487-0363
(773) 487-0900
Mailing address
736 W 95TH ST, CHICAGO, IL 60628-1063
(773) 487-0363
(773) 487-0900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013357
IL
Other
Enumeration date
11/04/2015
Last updated
02/02/2017
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