Search › Illinois › 363LF0000X
Tara Shutt, APN
NPI 1528621265 · on the registry since 2019
Practice
- Address
- 100 E Us Highway 36
Atwood, IL 61913 - Phone
- (217) 578-3814
- Fax
- (217) 578-3100
- Organisation at this address
- Jac Stores Inc
Kirby Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-28
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