Individual
SHIRLEY T PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 GLENVIEW RD, GLENVIEW, IL 60025-3266
(847) 998-0663
Mailing address
820 GLENVIEW RD, GLENVIEW, IL 60025-3266
(847) 998-0663
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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