KRYSTAL SHANKLIN
NPI 1336852805
Nurse Practitioner - Family in Berwyn, IL

Q: What is Krystal Shanklin's NPI number?

The NPI number for Krystal Shanklin is 1336852805. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Q: What is Krystal Shanklin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Shanklin was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2022

7102 CERMAK RD SPC C2, BERWYN, IL 60402(708) 637-6679 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Krystal Shanklin NPPES

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

KRYSTAL SHANKLIN (NPI 1336852805) is an individual family provider in Berwyn, Illinois, licensed in Illinois (209.026486) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1336852805

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRYSTAL SHANKLIN

Location Address7102 CERMAK RD SPC C2Berwyn, IL 60402-2114

Mailing AddressKrystal Shanklin, Po Box 1026Plainfield, IL 60544

Phone(708) 637-6679

Sole ProprietorNo

Enumeration DateDecember 29, 2022

NPPES CertifiedDecember 16, 2022

✔ NPI 1336852805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.026486

7102 CERMAK RD SPC C2, Berwyn, IL 60402

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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 Krystal Shanklin's NPI number?

The NPI number for Krystal Shanklin is 1336852805. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Krystal Shanklin located?

Krystal Shanklin practices at 7102 Cermak Rd Spc C2, Berwyn, IL 60402. The listed phone number is (708) 637-6679.

What is Krystal Shanklin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Krystal Shanklin was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.