Individual
MRS. SHIRLEY ANN MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC NP
Contact information
Practice address
31 W. 155TH ST, HARVEY, IL 60426
(708) 596-5177
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041147153
IL
363L00000X
Nurse Practitioner
209002822
IL
363L00000X
Nurse Practitioner
Primary
277000622
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209002822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041147153
RN
IL
01
—
209002822
LICENSE APN
IL
05
—
277000622
—
IL
01
—
309002318
APN CONTROLLED
IL
01
—
3770000603
FULL PRACTICE AUTHORITY APRN CONTROLLED SUBSTANCE
IL
Enumeration date
11/30/2006
Last updated
07/16/2025
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