Individual
MRS. JENNY SHIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCTMB, LMT
Contact information
Practice address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8131
(309) 692-8673
Mailing address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8131
(309) 692-8673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227-000991
IL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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