Individual
DR. KATHY JO SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3162 TRAYLOR TRL, LITCHFIELD, IL 62056-4559
(217) 622-5137
Mailing address
3162 TRAYLOR TRL, LITCHFIELD, IL 62056-4559
(217) 622-5137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021377
IL
Other
Enumeration date
08/29/2006
Last updated
12/16/2022
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