IndividualActive
Tilitha Shawgo
NPI 1063669661 · Acute Care Clinical Nurse Specialist · Springfield, IL
Provider details
- NPI number
- 1063669661
- Entity type
- Individual
- Primary specialty
- Acute Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209.001606 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
751 N Rutledge St
Springfield, IL 62702-4909
Phone: (217) 545-4421
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19638
Springfield, IL 62794-9638
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2008-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.