Individual
MR. DURRELL SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9518 S 53RD AVE, OAK LAWN, IL 60453-2902
(773) 450-8043
Mailing address
9518 S 53RD AVE, OAK LAWN, IL 60453-2902
(773) 450-8043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.020290
IL
Other
Enumeration date
07/10/2018
Last updated
04/16/2026
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