Individual
SHANNON SWEEZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1846 N 74TH AVE, ELMWOOD PARK, IL 60707-3707
(708) 323-6030
Mailing address
1846 N 74TH AVE, ELMWOOD PARK, IL 60707-3707
(708) 323-6030
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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