Mrs. Shelli Michelle Seebruch
Adolescent Medicine
114 Barney Drive
Joliet
, Illinois 60435-6404
Mrs. Shelli Michelle Seebruch
Adolescent Medicine
114 Barney Drive
Joliet
, Illinois 60435-6404
(815) 729-9060
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mrs. Shelli Michelle Seebruch
- 114 Barney Drive
- Joliet, IL
- Zip : 60435-6404
- Fax : (815) 729-9060
- Phone : (815) 729-0521
Second Address
- Mrs. Shelli Michelle Seebruch
- 114 Barney Drive
- Joliet, IL
- Zip : 60435-6404
- Fax : (815) 729-9060
- Phone : (815) 729-0521
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | IL |
National Provider Identifier
| NPI | 1154495380 |
|---|---|
| Provider Name | Mrs. Shelli Michelle Seebruch |
| First Address | Joliet, IL 60435-6404 |
| Second Address | Joliet, IL 60435-6404 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.