Individual
CRYSTAL A SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
320 BUSSE HWY, PARK RIDGE, IL 60068-3251
(847) 268-0800
(847) 268-0801
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.025693
IL
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
08/21/2007
Last updated
06/03/2021
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