Healthcare Provider Details

I. General information

NPI: 1881491819
Provider Name (Legal Business Name): SHYAN HILL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S MAPLE AVE
OAK PARK IL
60304-1022
US

IV. Provider business mailing address

2233 S HIGHLAND AVE
LOMBARD IL
60148-5316
US

V. Phone/Fax

Practice location:
  • Phone: 708-660-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number041.545933
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: