Individual
CORINNE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 N KINGSBURY ST, CHICAGO, IL 60654-5721
(312) 527-5801
(312) 644-4567
Mailing address
500 N KINGSBURY ST, CHICAGO, IL 60654-5721
(312) 527-5801
(312) 644-4567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-015323
IL
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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