Shelly Shallat
Pediatrics | Female
Shelly Shallat is a Washington, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shelly Shallat is
10 Saint Clare Ct, Washington, Illinois - 61571-9239. She can be contacted on phone at
309-886-4000 and fax number 309-886-4118.
Shelly Shallat is a sole proprietor of her business.
NPI number (Unique professional ID) for Shelly Shallat is
1184706988 which was assigned by NPPES on 20 Oct, 2006 and it was last updated on 11 Nov, 2015.
Shelly Shallat license number is
036-101025 for Pediatrics (208000000X) in Illinois.
Shelly Shallat is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shelly Shallat basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Shelly Shallat |
|---|
| Gender : | Female |
|---|
Business Address:
Shelly Shallat address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10 Saint Clare Ct
Washington, IL, 61571-9239
United States |
|---|
| Phone Number : | 309-886-4000 |
|---|
| Fax Number : | 309-886-4118 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184706988 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 20 Oct, 2006 |
|---|
| Last Updated On : | 11 Nov, 2015 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelly Shallat are as mentioned. Primary taxonomy code for Shelly Shallat is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036-101025 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Shelly Shallat such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| IL20810 | Other | IL | BEECH STREET |
| 07223454 | Other | IL | BLUE CROSS |
| 036101025 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 320 E Armstrong Ave
Peoria, IL, 61603-3172
United States |
|---|
| Phone Number : | 309-680-7600 |
|---|
| Fax Number : | 309-495-8614 |
|---|
Business Location:
Patients can refer following map for directions to
Shelly Shallat practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.