Susan Sheppard

NPI #1598857278 in Normal, Illinois

Provider Information

NPI Number: 1598857278
Entity Type: Individual
Name: Susan Sheppard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Sep 29, 2006
Last Updated: Jun 10, 2008

Practice Location

Address: 2200 FORT JESSE RD
Address 2: SUITE 110
City: Normal
State: Illinois
ZIP Code: 61761-6286
Phone: (309) 661-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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