Charlene Shallow, NP
Charlene Shallow, NP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2005, 21 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 21
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 6
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
747 N Rutledge St Fl 4Springfield, IL 62702-6700
Phone: (217) 545-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (4)
- 409 W Oak St, Carbondale, IL 62901-1464 — (618) 529-4455
- 217 S Park Ave Ste 2, Herrin, IL 62948-3611 — (618) 529-4455
- 3905 W Ernestine Dr, Marion, IL 62959-5800 — (618) 529-4455
- 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 — (217) 788-0706
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 277.001220 (IL) |
|---|---|
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 277.001220 (IL) |
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 209.005660 (IL) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 209005660 (IL) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 277.001220 (IL) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 209-005660 (IL) |
Record details
| NPI number | 1295819688 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | October 24, 2006 |
| Last updated in NPPES | February 3, 2022 |
| Certification date | February 3, 2022 |
| Mailing address | 201 E Madison St Ste 328, Springfield, IL 62702-5131 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Siu Physicians And Surgeons Inc — 316 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Springfield
-
Dr. Maryna J Popp, DO
800 N 1st St, Springfield, IL 62702-3719 · (217) 528-7541
-
Krishna J Rocha-Singh, MD
619 E Mason St Ste 4P57, Springfield, IL 62701-1034 · (217) 788-0706
-
Jenna Schrage, NP
317 N 5th St, Springfield, IL 62701-1003 · (618) 514-9941
-
Donita Schrey, NP
2801 Mathers Rd, Springfield, IL 62711-7064 · (217) 241-3586