Traci Shanklin, N.P

NPI 1245661750 · on the registry since 2013

Practice

Address: 1890 Silver Cross Blvd
St 350
New Lenox, IL 60451
Phone: (815) 717-8737
Fax: (815) 717-8699
Organisation at this address: Walgreen Co
Bmi Surgery Sc
Kamran Khan, Sc
S & S Doctor Ltd
Rend Dialysis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 104

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-03-10

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