Search › Illinois › 363A00000X
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