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Lillian Shively, PA-C

NPI 1972108280 · on the registry since 2020

Practice

Address
270 Maple Summit Rd
Mcdow Bldg
Jerseyville, IL 62052
Phone
(618) 498-7108
Fax
(618) 498-7919
Organisation at this address
Jersey Community Hospital
Huang Surgical Clinic Ltd.
Medical Associates Of Jerseyville, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 903 S State St, Jerseyville, IL
  • 390 Maple Summit Rd, Jerseyville, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois