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Search › Illinois › 363LF0000X

Shannon Holthaus, APN

NPI 1558779058 · on the registry since 2014

Practice

Address
1802 S Mattis Ave
Champaign, IL 61821
Phone
(217) 383-3260
Fax
(217) 383-4459
Organisation at this address
Carle Clinic Association, Pc
The Care Foundation Hospital
Carle Health Care Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

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
2015-05-26

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