Individual
MS. BETHUNA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1401 SOUTH CALIFORNIA AVE, CHICAGO, IL 60608
(773) 522-2010
Mailing address
850 DES PLAINES AVE APT 510, FOREST PARK, IL 60130-2069
(630) 418-0973
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
056008855
IL
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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