Individual
ELIZABETH ANN SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
28070 E STATE RD, ISLAND LAKE, IL 60042-9552
(847) 487-1111
Mailing address
28070 E STATE RD, ISLAND LAKE, IL 60042-9552
(847) 487-1111
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.014934
IL
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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