Shelly Shallat

NPI #1184706988 in Washington, Illinois

Provider Information

NPI Number: 1184706988
Entity Type: Individual
Name: Shelly Shallat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Oct 20, 2006
Last Updated: Nov 11, 2015

Practice Location

Address: 10 SAINT CLARE CT
City: Washington
State: Illinois
ZIP Code: 61571-9239
Phone: (309) 886-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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