JOHN SHALLAT

Internal Medicine

Active Individual
NPI: 1942381306

Practice Address

200 E PENNSYLVANIA AVE
Peoria, IL 61603

Phone: (309) 655-7990

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1942381306 is the National Provider Identifier for JOHN SHALLAT, a Internal Medicine provider located in Peoria, IL. This NPI was enumerated on October 18, 2006.
JOHN SHALLAT practices at 200 E PENNSYLVANIA AVE, Peoria, IL 61603.

Quick Facts

NPI
1942381306
Type
Individual
Enumerated
Oct 18, 2006
Last Updated
Jul 8, 2007

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