Myrtise Shepard
Myrtise Shepard is a Licensed Practical Nurse in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
12324 S Union Union AveChicago, IL 60628-6433
Phone: (773) 317-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 043-028179 (IL) |
|---|
Record details
| NPI number | 1255880969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2016 |
| Last updated in NPPES | September 23, 2016 |
| Mailing address | 12324 S Union Union Ave, Chicago, IL 60628-6433 |
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