Individual
SHAUNA DELACEY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4652 W 87TH PL APT 2, HOMETOWN, IL 60456-2146
(773) 578-3810
Mailing address
4652 W 87TH PL APT 2, HOMETOWN, IL 60456-2146
(773) 578-3810
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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