Most Relevant Information
Provider Data
| NPI Number: | 1003371717 |
| Provider Name: | SHAKIRA AYANLAJA APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209017936 |
Most Important Dates
| Enumeration Date: | 02/06/2019 |
| Last Updated: | 02/06/2019 |
Provider Practice Location
45 W 111TH ST
CHICAGO
IL
606284200
Practice Location Phone/Fax
| Phone: | 7739953195 |
| Fax: |
Provider Mailing Location
15612 PINE RD
OAK FOREST
IL
604522620
Provider Mailing Phone/Fax
| Phone: | 7737592168 |
| Fax: |