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Individual

SHANNON E CONDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
524 BARTON AVE, EVANSTON, IL 60202-2711
(224) 388-0778
(847) 492-9310
Mailing address
524 BARTON AVE, EVANSTON, IL 60202-2711
(224) 388-0778
(847) 492-9310

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
IL

Other

Enumeration date
11/05/2006
Last updated
07/08/2007
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