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

Peter Alex Shireman

Individual provider Audiologist · NPI 1134817646

Peter Alex Shireman is an Audiologist in Champaign, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3105 Fields South Dr
Champaign, IL 61822-3743
Phone: (217) 902-3937
Fax: (217) 902-7757
Show map & directions

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

Additional practice locations (1)

  • 9000 W Wisconsin Ave Ste B340, Milwaukee, WI 53226-4874 — (414) 266-2934

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 147002009 (IL)
Audiologist Taxonomy 231H00000X

Record details

NPI number1134817646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing addressN5988 Alexander Ln, Fond Du Lac, WI 54937-7106

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