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Contact Information

LILLIAN G SHIVELY, PA-C
270 MAPLE SUMMIT RD
MCDOW BLDG
JERSEYVILLE, IL62052
 Phone: 618-498-7108
 Fax: 618-498-7919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LILLIAN G SHIVELY · (Female)

NPI Number 1972108280
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/03/2020
Last updated 11/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 085007743
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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