Provider Demographics
NPI:1477731370
Name:MCNALLY, SHEILA (RNFA)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MS
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:MCNALLY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNFA
Mailing Address - Street 1:1611 W HARRISON ST
Mailing Address - Street 2:212
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4861
Mailing Address - Country:US
Mailing Address - Phone:312-432-2850
Mailing Address - Fax:312-563-2545
Practice Address - Street 1:1611 W HARRISON ST
Practice Address - Street 2:212
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4861
Practice Address - Country:US
Practice Address - Phone:312-432-2850
Practice Address - Fax:312-563-2545
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-193886163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant