Provider Demographics
NPI:1003981861
Name:SHEFF, KRISTI ANN
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:ANN
Last Name:SHEFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KRISTI
Other - Middle Name:ANN
Other - Last Name:SCHULMEISTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1208 CHRISTINE DR
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-1533
Mailing Address - Country:US
Mailing Address - Phone:618-985-2136
Mailing Address - Fax:
Practice Address - Street 1:100 S DIVISION ST
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-1359
Practice Address - Country:US
Practice Address - Phone:618-985-4100
Practice Address - Fax:618-985-6100
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL202131069001Medicaid