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Individual

RITA ANNE SHADLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
140 E LOOP RD, WHEATON, IL 60189-8407
(312) 243-8487
Mailing address
4012 E RAZORBILL DR, SILOAM SPRINGS, AR 72761-3066
(630) 908-0477

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
04/25/2022
Last updated
07/10/2022
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