TILITHA S SHAWGO
NPI 1063669661
Clinical Nurse Specialist - Acute Care in Springfield, IL
Active since August 26, 2008
About Tilitha S Shawgo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TILITHA S SHAWGO (NPI 1063669661) is an individual acute care provider in Springfield, Illinois, licensed in Illinois (209.001606) and active in the NPI registry since August 2008.
NPPES Registry Identity
NPI1063669661
Entity TypeIndividualFemale
Primary Taxonomy364SA2100X
Provider Legal NameTILITHA S SHAWGO
Location Address751 N RUTLEDGE STSpringfield, IL 62702-4909
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-4421
Phone(217) 545-4421
Sole ProprietorNo
Enumeration DateAugust 26, 2008
✔ NPI 1063669661 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinical Nurse Specialist · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2100X
License✔ Licensed in IL · 209.001606
751 N RUTLEDGE ST, Springfield, IL 62702
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dermatology (MOHS-Micrographic Surgery)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
Internal Medicine (Rheumatology)
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST, RM 0300
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063669661, enumerated as an "individual" on August 26, 2008.
The provider is located at 751 N RUTLEDGE ST SPRINGFIELD, IL 62702 and the phone number is (217) 545-4421.
Clinical Nurse Specialist with taxonomy code 364SA2100X and a focus in Acute Care.
