Individual
SHANNON LEE WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
101 BURR RIDGE PKWY STE 150, BURR RIDGE, IL 60527-0877
(630) 908-5159
(630) 908-5159
Mailing address
7439 W 56TH ST, SUMMIT, IL 60501-1381
(708) 821-6155
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001716
IL
Other
Enumeration date
02/25/2019
Last updated
06/27/2019
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