Individual
SHANISHIA CROPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 W HIRSCH ST # 1, CHICAGO, IL 60651-1808
(757) 506-5400
Mailing address
4208 W HIRSCH ST, #1, CHICAGO, IL 60651
(757) 506-5400
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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