Individual provider · Type 1 NPI

Lillian G. Shively, PA-C

Physician Assistant · Jerseyville, IL

NPI number 1972108280 Active

Practice location

270 Maple Summit Rd, Mcdow Bldg
Jerseyville, IL 62052

Call (618) 498-7108 Map

Fax (618) 498-7919

Mailing address

390 Maple Summit Rd
Jerseyville, IL 62052-2000

Other practice locations

  • 390 Maple Summit Rd, Illini Bldg, Jerseyville, IL 62052 · (618) 498-2101
  • 903 S State St, Jerseyville, IL 62052-2344 · (618) 639-9255

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085007743 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972108280

Lillian G. Shively, PA-C's National Provider Identifier is 1972108280, issued on Dec 3, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jerseyville, IL. The record was last updated on Nov 13, 2024.