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NPI Code Detail

MEDICARE: SHANNON M KIRBY APN-CNP

MEDICARE: SHANNON M KIRBY APN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner209013323IL
2363LF0000XFamily Nurse Practitioner209013323IL

General Provider Information

NPI Number : 1598137390
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON M KIRBY APN-CNP
Provider Business Mailing Address
First Line : 2541 JURICIC DR
Second Line :
City : CREST HILL
State : IL
Zip : 60403-8571
Country : US
Telephone Number : 815-922-8847
Fax Number :
Provider Business Practice Location Address
First Line : 801 S WASHINGTON ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-7430
Country : US
Telephone Number : 630-527-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2015
Last Update Date : 04/09/2026

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