Individual
SHANNON ZOFKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 HARLEM AVE, RIVERSIDE, IL 60546-2012
(630) 728-1744
Mailing address
3200 HARLEM AVE, RIVERSIDE, IL 60546-2012
(630) 728-1744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178016302
IL
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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