Search › Illinois › 163WG0000X
Mckenna Shofroth, RN
NPI 1962158501 · on the registry since 2022
Practice
- Address
- 20 Professional Park Dr Ste B
Maryville, IL 62062 - Phone
- (618) 288-1480
- Fax
- (888) 718-4696
- Organisation at this address
- Med Plus Physical Medicine Llc
Associated Physicians Group LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-22
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