SearchIllinois2355S0801X

Shawna Stadtherr

NPI 1598314072 · on the registry since 2019

Practice

Address
2925 Manchester Dr
Montgomery, IL 60538
Phone
(630) 338-2263

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-08

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