Shelly Shallat
Pediatrics · Washington, IL
UnclaimedNPI 1184706988
- Primary taxonomy
- 208000000X
- Enumerated
- 2006-10-20
- Practice location
- Washington, IL
- Last NPPES update
- 2015-11-11
State licenses
- IL · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.