| Doctor Name: | RUTH AMBER SHILLING |
| NPI Number: | 1376910133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 085.005601 |
| Business Practice Address: | 1430 College Dr Suite A Mount Carmel, IL - 628632649 |
| Business Phone Number: | 6182625113 |
| Business Fax Number: | 6182633195 |
| Mailing Address: | 1430 College Dr, Suite A MOUNT CARMEL |
| State: | IL |
| Postal Code: | 628632649 |
| Phone Number: | 6182625113 |
| Fax Number: | 6182633195 |
| NPI Enumeration Date: | 08/27/2015 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085.005601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |