| Dr Suzan Cathleen Shane-gray, APN, EDD | |
|
530 Ne Glen Oak Ave, Pob 113, Peoria, IL 61637-0001 | |
| (309) 224-8683 | |
| Not Available |
| Full Name | Dr Suzan Cathleen Shane-gray |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Pediatrics |
| Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144525452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0200X | Clinical Nurse Specialist - Pediatrics | 209.008562 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzan Cathleen Shane-gray, APN, EDD 530 Ne Glen Oak Ave, Pob 113, Peoria, IL 61637-0001 Ph: (309) 224-8683 | Dr Suzan Cathleen Shane-gray, APN, EDD 530 Ne Glen Oak Ave, Pob 113, Peoria, IL 61637-0001 Ph: (309) 224-8683 |
Cheryl Herrmann, Clinical Nurse Specialist Medicare: May Accept Medicare Assignments Practice Location: 112 Ne Crescent Ave, Peoria, IL 61606 Phone: 309-672-4670 | |
Ms. Colleen Susanne Cushing Ragon, APN, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274 | |
Mrs. Heather A Boore, APN, CNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603 Phone: 309-624-9844 | |
Mrs. Jessica M Stewart, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3215 | |
Mckenzie Regan Likes, APN-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Sarah E Dominique, APN CDE Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-2480 | |
Melissa R Norris, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3525 N University St, Peoria, IL 61604 Phone: 309-886-9172 Fax: 309-509-4045 |