Individual
JENNIFER SHADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
6255 S ARCHER AVE, CHICAGO, IL 60638-2609
(773) 284-6735
(773) 284-6820
Mailing address
6255 S ARCHER AVE, CHICAGO, IL 60638-2609
(773) 284-6735
(773) 284-6820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008744
IL
225X00000X
Occupational Therapist
OT 7865
CA
Other
Enumeration date
08/30/2006
Last updated
08/21/2009
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