Individual
MS. MARY ELLEN SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS, CERT. MDT
Contact information
Practice address
6500 W 65TH ST, CHICAGO, IL 60638-4962
(708) 496-1515
(708) 496-3422
Mailing address
6500 W 65TH ST, CHICAGO, IL 60638-4962
(708) 496-1515
(708) 496-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
IL
2251X0800X
Orthopedic Physical Therapist
Primary
0700100410
IL
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us