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Susan Sheppard
Family Medicine Physician in Normal, Illinois
NPI 1598857278

Susan Sheppard is a Family Medicine Physician based in Normal, IL. Susan Sheppard practices in Normal, IL. The NPI Number for Susan Sheppard is 1598857278 and holds a License No. 036101712 (Illinois).

The current practice location address for Susan Sheppard is 2200 Fort Jesse Rd, Normal, IL and can be reached out via phone at 309-661-6290 and via fax at 309-451-1354.

Location: 2200 Fort Jesse Rd, Normal, IL, 61761-6286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598857278
Provider Name
Susan Sheppard
Credential
Provider Entity Type
Individual
Gender
Female
Address
2200 Fort Jesse Rd, Normal, IL, 61761-6286
Phone Number
309-661-6290
Fax Number
309-451-1354
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
833130 01 IL MEDICARE GROUP #
036101712 05 IL
institution
Provider Business Practice Location Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-661-6290
Fax Number
309-451-1354
person
Provider Business Mailing Address Details
Address
2200 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6286
Phone Number
309-661-6290
Fax Number
309-451-1354
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036101712 (Illinois)
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 is not limited by age, sex, organ system, or disease entity.
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