Individual
MR. EDWARD JOHN SHEEHAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1751 S GALENA AVE, LOT 31, FREEPORT, IL 61032-2529
(815) 312-2895
Mailing address
1751 S GALENA AVE, LOT 31, FREEPORT, IL 61032-2529
(815) 312-2895
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
227.006245
IL
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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