| Patricia Shannon, | |
|
151 N Main St, Decatur, IL 62523 | |
| (217) 362-6262 | |
| Not Available |
| Full Name | Patricia Shannon |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 151 N Main St, Decatur, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174049209 | NPI | - | NPPES |
| 1639231731 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043042053 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Shannon, 151 N Main St, Decatur, IL 62523-1206 Ph: () - | Patricia Shannon, 151 N Main St, Decatur, IL 62523 Ph: (217) 362-6262 |
Cathy Johansen, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Barbara L Pickett, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 | |
Shelbi Clay, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Christine Louise Hobson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
E Dennise Spencer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 | |
Kathy Patterson, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 |