Search › Illinois › 343900000X
Shatonna Miller
NPI 1225875305 · on the registry since 2024 · sole proprietor
Practice
- Address
- 16431 Dobson Ave
South Holland, IL 60473 - Phone
- (773) 678-0886
- Organisation at this address
- Gods Grace Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 172A00000X
342000000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois