John Shallat

Internal Medicine · Peoria, IL

Primary taxonomy

207R00000X

Enumerated

2006-10-18

Practice location

Peoria, IL

Last NPPES update

2007-07-08

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.