Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Shirley Vernetha Willis III, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1285929620

Miss. Shirley Vernetha Willis III, REGISTEREDNURSE is a Registered Nurse in Blue Island, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

13136 Western Ave
Blue Island, IL 60406-2423
Phone: (708) 974-5800
Fax: (708) 371-0466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 041-161525 (IL)

Record details

NPI number1285929620
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedJune 14, 2011
Last updated in NPPESJune 23, 2011

Other providers in Blue Island