Healthcare Provider Details

I. General information

NPI: 1700435534
Provider Name (Legal Business Name): ARRION SHELTON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13419 S RIDGELAND AVE STE 1A
PALOS HEIGHTS IL
60463-1898
US

IV. Provider business mailing address

15580 ORCHID DR
SOUTH HOLLAND IL
60473-1331
US

V. Phone/Fax

Practice location:
  • Phone: 773-550-4254
  • Fax: 708-273-5584
Mailing address:
  • Phone: 773-406-5995
  • Fax: 708-273-5584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277.002911
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: