SearchIllinois1041C0700X

Shahalonie Herman

NPI 1659724995 · on the registry since 2016 · sole proprietor

Practice

Address
1205 W Lane Rd
Machesney Park, IL 61115
Phone
(815) 469-1500
Clinicians at this address
9

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-28

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