Individual
MRS. DENISE JOSEPHINE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
1520 10TH ST, PERU, IL 61354-2317
(815) 993-1814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001467
IL
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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