Individual
RENEE SHOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 S VIRGINIA ST STE C, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
Mailing address
145 S VIRGINIA ST STE C, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041256721
IL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
1757
IL
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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