Individual
SHANNON MALAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
990 KUHN RD, CAROL STREAM, IL 60188-9227
(630) 681-3258
Mailing address
26W280 JEWELL RD, WINFIELD, IL 60190-1108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003829
IL
Other
Enumeration date
08/19/2017
Last updated
08/19/2017
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