Individual
DR. ANNIE PERRY SHIDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
11824 SOUTHWEST HWY STE 100, PALOS HEIGHTS, IL 60463-1083
(708) 361-0222
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041476945
IL
363LF0000X
Family Nurse Practitioner
Primary
209027584
IL
Other
Enumeration date
12/12/2022
Last updated
07/14/2023
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