Karla R Shively is a Family Medicine in Joliet, Illinois. Karla R Shively practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Karla R Shively is 1871535450. The last update date is 2010-06-23.
Karla R Shively's current location address is 330 Madison St, Joliet, Illinois. You can contact this provider via phone number 8157253440 and fax number 8157257209. The mailing address for Karla R Shively is 330 Madison St, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karla R Shively |
|---|---|
| Address | 330 Madison St, Joliet, Illinois |
| Phone Number | 8157253440 |
| Fax Number | 8157257209 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1871535450 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2010-06-23 |
Provider Mailing Address Detail
| Address | 330 Madison St |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 604356565 |
| Phone Number | 8157253440 |
| Fax Number | 8157257209 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36091518 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36091518 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Karla R Shively?
The Karla R Shively has been issued the NPI (National Provider Identifier) 1871535450 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Karla R Shively's facilities are situated?
The facilities of Karla R Shively are physically located at the following address: 330 Madison St, Joliet, IL, 604356565.
What is Karla R Shively's area of expertise and its corresponding taxonomy classification?
The Karla R Shively's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1871535450 to Karla R Shively?
The Karla R Shively received its 1871535450 assignment from the Centers for Medicare & Medicaid Services on 2006-06-11.
As of what date were the Karla R Shively's details last updated?
The information pertaining to the Karla R Shively, including its address, specialty, and other details, was most recently updated on 2010-06-23.