Individual
SHANNON NICOLE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 EMILIE LN, ORLAND PARK, IL 60467-8872
(708) 326-2300
Mailing address
15242 CENTRAL AVE, OAK FOREST, IL 60452-2121
(708) 261-3355
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004013
IL
Other
Enumeration date
05/07/2024
Last updated
07/08/2025
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