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JERALDENE SHAFFER NP
NPI 1831120104
Nurse Practitioner in Crestwood, IL

Active since July 05, 2006
14255 CICERO AVE, CRESTWOOD, IL 60445(708) 371-0400(708) 371-5871 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeraldene Shaffer Np NPPES

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

JERALDENE SHAFFER NP (NPI 1831120104) is an individual nurse practitioner in Crestwood, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1831120104
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJERALDENE SHAFFERCredential: NP
Location Address14255 CICERO AVECrestwood, IL 60445-2154
Mailing Address2354 W Norfolk RdCrete, IL 60417-9788 · (708) 748-2260
Phone(708) 371-0400
Fax(708) 371-5871
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1831120104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
14255 CICERO AVE, Crestwood, IL 60445
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRESTWOOD CARE CENTRE LP
Skilled Nursing Facility
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 371-0400
EMILY COLEMAN
Occupational Therapist
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 371-0400
DIRECT DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 824-9200
MS. CLARE ARQUILLA M.S.
Speech-Language Pathologist
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 371-0400
AMANDA FERAGEN M.H.S.
Speech-Language Pathologist
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 371-0400
SYMPHONY CRESTWOOD LLC
Skilled Nursing Facility
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 371-0400
THEA ESCUADRA PT
Physical Therapist
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 371-0400
STEPHANIE ELLEN RUKTANTICHOKE CCC-SLP
Speech-Language Pathologist
14255 CICERO AVE
CRESTWOOD, IL 60445
Cook County (708) 371-0400

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 Jeraldene Shaffer's NPI number?

The NPI number for Jeraldene Shaffer is 1831120104. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Jeraldene Shaffer located?

Jeraldene Shaffer practices at 14255 Cicero Ave, Crestwood, IL 60445. The listed phone number is (708) 371-0400.

What is Jeraldene Shaffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jeraldene Shaffer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.