Gordon, Shina Keaonis
Gordon, Shina Keaonis is an individual health care provider with primary practice located at 3743 Highland Ave # 2001 , Downers Grove IL 60515-1594. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gordon, Shina Keaonis can be contacted via phone (630) 719-5454.Contact Information
Primary practice address
3743 Highland Ave # 2001
Downers Grove IL 60515-1594
Phone: (630) 719-5454
Fax: (630) 719-1263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209013602 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 277-002521 | Illinois |
Profile Details
| NPI number | 1295197697 |
|---|---|
| LBN Legal business name | Gordon, Shina Keaonis |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2016 |
| Last updated | Dec 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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