SHUNDREA NEELY HAIR LOSS SPECIALIST
NPI 1114582368
Specialist - Prosthetics Case Management in Fairview Heights, IL

Active since May 03, 2019
10301 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208(618) 560-3068 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shundrea Neely Hair Loss Specialist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHUNDREA NEELY HAIR LOSS SPECIALIST (NPI 1114582368) is an individual prosthetics case management provider in Fairview Heights, Illinois and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1114582368
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameSHUNDREA NEELYCredential: HAIR LOSS SPECIALIST
Location Address10301 LINCOLN TRLFairview Heights, IL 62208-1829
Mailing Address2 Montclair DrFairview Heights, IL 62208-1627 · (618) 560-3068
Sole ProprietorYes
Enumeration DateMay 3, 2019
NPI 1114582368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

10301 LINCOLN TRL, Fairview Heights, IL 62208

Other Names 1

Former Name (1)Shundrea Santiago

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shundrea Neely's NPI number?

The NPI number for Shundrea Neely is 1114582368. It was assigned to this individual provider in the NPPES registry on May 3, 2019. The provider is also known as Shundrea Santiago.

Where is Shundrea Neely located?

Shundrea Neely practices at 10301 Lincoln Trl, Fairview Heights, IL 62208. The listed phone number is (618) 560-3068.

What is Shundrea Neely's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Shundrea Neely was last updated on May 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.