SearchIllinois175F00000X

Shayna Peter

NPI 1356702252 · on the registry since 2016 · sole proprietor

Practice

Address
7750 S Wolcott Ave
Chicago, IL 60620
Phone
(773) 819-0760

Registry record

Primary taxonomy
175F00000X
175F00000X
Also registered as
133N00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-07

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