Individual
SHONTEL MARLENA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
7234 W NORTH AVE STE 208, ELMWOOD PARK, IL 60707-4202
(618) 746-0052
(618) 300-7060
Mailing address
7234 W NORTH AVE STE 208, ELMWOOD PARK, IL 60707-4202
(618) 746-0052
(618) 300-7060
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2015001948
MO
363LA2200X
Adult Health Nurse Practitioner
209013100
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277002617
IL
Other
Enumeration date
03/26/2015
Last updated
08/26/2025
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