Individual
YIYANG SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E GRANT ST, MACOMB, IL 61455-3428
(309) 833-2123
Mailing address
1511 W JACKSON ST APT 2, MACOMB, IL 61455-3629
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
242.005993
IL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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